Provider Demographics
NPI:1225726656
Name:WEBB, SYDNIE ALYNA
Entity Type:Individual
Prefix:
First Name:SYDNIE
Middle Name:ALYNA
Last Name:WEBB
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 1:1302 FM 646 RD N TRLR 3
Mailing Address - Street 2:
Mailing Address - City:DICKINSON
Mailing Address - State:TX
Mailing Address - Zip Code:77539-8246
Mailing Address - Country:US
Mailing Address - Phone:214-385-0488
Mailing Address - Fax:
Practice Address - Street 1:1450 5TH ST SE STE 2100
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-4693
Practice Address - Country:US
Practice Address - Phone:253-697-3950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical