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NPI Code Detail

MEDICARE: MICHELLE WEBB REGISTERED NURSE

MEDICARE: MICHELLE WEBB REGISTERED NURSE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse645831NY

General Provider Information

NPI Number : 1225382005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELLE WEBB REGISTERED NURSE
Provider Business Mailing Address
First Line : 55 SHERIDAN AVE APT C24
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10552-2535
Country : US
Telephone Number : 914-471-1768
Fax Number :
Provider Business Practice Location Address
First Line : 55 SHERIDAN AVE APT C24
Second Line :
City : MOUNT VERNON
State : NY
Zip : 10552-2535
Country : US
Telephone Number : 914-471-1768
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2012
Last Update Date : 11/01/2012

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Directions to “ MICHELLE WEBB REGISTERED NURSE” Practice Location

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