Provider Demographics
NPI:1164073391
Name:WEBB, ELIZABETH KAITLIN (DNP, FNP-BC)
Entity Type:Individual
Prefix:DR
First Name:ELIZABETH
Middle Name:KAITLIN
Last Name:WEBB
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 CHILDRENS LN
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507-1910
Mailing Address - Country:US
Mailing Address - Phone:757-668-8217
Mailing Address - Fax:757-668-7811
Practice Address - Street 1:601 CHILDRENS LN
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507-1910
Practice Address - Country:US
Practice Address - Phone:757-668-8217
Practice Address - Fax:757-668-7811
Is Sole Proprietor?:No
Enumeration Date:2019-09-29
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024181234363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA0024181234OtherVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS
2019051444OtherANCC
VA0001252293OtherVIRGINIA DEPARTMENT OF HEALTH PROFESSIONS