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NPI Code Detail

MEDICARE: MRS. CONNIE SUE WEBBER R.N.

MEDICARE:  MRS. CONNIE SUE WEBBER  R.N.
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
1163WA2000XAdministrator Registered NurseRN431307CA
2163WP0808XPsychiatric/Mental Health Registered NurseRN431307CA
3163WR0400XRehabilitation Registered NurseRN431307CA

General Provider Information

NPI Number : 1356424295
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CONNIE SUE WEBBER R.N.
Provider Business Mailing Address
First Line : 4804 RHONDA RD
Second Line :
City : ANDERSON
State : CA
Zip : 96007-9006
Country : US
Telephone Number : 530-365-1489
Fax Number :
Provider Business Practice Location Address
First Line : 1860 WALNUT ST
Second Line : SUITE A
City : RED BLUFF
State : CA
Zip : 96080-3611
Country : US
Telephone Number : 530-527-5631
Fax Number : 530-527-0232
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 09/11/2025

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Directions to “ MRS. CONNIE SUE WEBBER R.N.” Practice Location

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