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NPI Code Detail

MEDICARE: ESSIE WEBB

MEDICARE: ESSIE WEBB
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
1164W00000XLicensed Practical Nurse837751NV

General Provider Information

NPI Number : 1598129363
Entity Type Code : Individual
Provider Name (Legal Business Name) : ESSIE WEBB
Provider Business Mailing Address
First Line : 2887 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1511
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2887 S MARYLAND PKWY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89109-1511
Country : US
Telephone Number : 702-840-3586
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2016
Last Update Date : 01/07/2025

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Directions to “ ESSIE WEBB ” Practice Location

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