Provider Demographics
NPI:1073088985
Name:WEBSTER, MEGHAN ARLITA
Entity Type:Individual
Prefix:MISS
First Name:MEGHAN
Middle Name:ARLITA
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5304 62ND AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-3214
Mailing Address - Country:US
Mailing Address - Phone:202-492-7673
Mailing Address - Fax:
Practice Address - Street 1:5304 62ND AVE
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-3214
Practice Address - Country:US
Practice Address - Phone:202-492-7673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-06
Last Update Date:2018-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program