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NPI Code Detail

MEDICARE: DR. ROGER WAYNE WEBB DNP, CRNA

MEDICARE:  DR. ROGER WAYNE WEBB  DNP, CRNA
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
1367500000XCertified Registered Nurse Anesthetist6412NC

General Provider Information

NPI Number : 1740892389
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROGER WAYNE WEBB DNP, CRNA
Provider Business Mailing Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-0001
Country : US
Telephone Number : 626-673-7424
Fax Number :
Provider Business Practice Location Address
First Line : 2817 ROCK MERRITT AVE
Second Line :
City : FORT BRAGG
State : NC
Zip : 28310-7324
Country : US
Telephone Number : 910-907-8922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/17/2020
Last Update Date : 02/09/2026

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