MEDICARE: ALICE KATHERINE WEBB RN, PMHNP

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
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	332143	AZ

General Provider Information

NPI Number	:	1770444507
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE KATHERINE WEBB RN, PMHNP

Provider Business Mailing Address
First Line	:	5210 E PIMA ST STE 200A
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-3678
Country	:	US
Telephone Number	:	520-256-4381
Fax Number	:	520-344-8797

Provider Business Practice Location Address
First Line	:	5210 E PIMA ST STE 200A
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85712-3678
Country	:	US
Telephone Number	:	520-256-4381
Fax Number	:	520-344-8797

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2025
Last Update Date	:	03/16/2026

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