MEDICARE: EMILY 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
1	163WM0102X	Maternal Newborn Registered Nurse	8186147-3102	UT

General Provider Information

NPI Number	:	1841943057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EMILY WEBB

Provider Business Mailing Address
First Line	:	2942 E 2965 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-2133
Country	:	US
Telephone Number	:	801-915-3486
Fax Number	:

Provider Business Practice Location Address
First Line	:	2942 E 2965 S
Second Line	:
City	:	SALT LAKE CITY
State	:	UT
Zip	:	84109-2133
Country	:	US
Telephone Number	:	801-915-3486
Fax Number	:

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

Provider Enumeration Date	:	01/27/2022
Last Update Date	:	01/27/2022

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Directions to “ EMILY WEBB ” Practice Location

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