Provider Demographics
NPI:1053489948
Name:WEBSTER, PATRICIA DAWN (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:DAWN
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:DAWN
Other - Last Name:DUGAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:128 PINOAK LANE
Mailing Address - Street 2:
Mailing Address - City:IMPERIAL
Mailing Address - State:PA
Mailing Address - Zip Code:15126
Mailing Address - Country:US
Mailing Address - Phone:724-263-8453
Mailing Address - Fax:
Practice Address - Street 1:460 WASHINGTON RD
Practice Address - Street 2:MEDEXPRESS, SUITE 7
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-2765
Practice Address - Country:US
Practice Address - Phone:724-225-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2010-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical