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NPI Code Detail

MEDICARE: MRS. LAURIE ANN WEBB RN, AGCNS-BC, BC-ADM

MEDICARE: MRS. LAURIE ANN WEBB RN, AGCNS-BC, BC-ADM
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
1163W00000XRegistered Nurse28117942AIN
2364SG0600XGerontology Clinical Nurse Specialist71008897AIN

General Provider Information

NPI Number : 1962977157
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LAURIE ANN WEBB RN, AGCNS-BC, BC-ADM
Provider Business Mailing Address
First Line : 1481 W 10TH ST
Second Line : MAIL ROUTE 11 AMB
City : INDIANAPOLIS
State : IN
Zip : 46202-2803
Country : US
Telephone Number : 317-544-0000
Fax Number :
Provider Business Practice Location Address
First Line : 1481 W 10TH ST
Second Line : MAIL ROUTE 11 AMB
City : INDIANAPOLIS
State : IN
Zip : 46202-2803
Country : US
Telephone Number : 317-544-0000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2018
Last Update Date : 02/24/2023

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