Provider Demographics
NPI:1467105536
Name:WEBB, PATRICIA HOLLAND (MSN, PHD, PMHNP-BC)
Entity Type:Individual
Prefix:DR
First Name:PATRICIA
Middle Name:HOLLAND
Last Name:WEBB
Suffix:
Gender:F
Credentials:MSN, PHD, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:KANE
Mailing Address - State:PA
Mailing Address - Zip Code:16735-1271
Mailing Address - Country:US
Mailing Address - Phone:724-321-6098
Mailing Address - Fax:
Practice Address - Street 1:11 PARK AVE
Practice Address - Street 2:
Practice Address - City:KANE
Practice Address - State:PA
Practice Address - Zip Code:16735-1271
Practice Address - Country:US
Practice Address - Phone:724-321-6098
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-30
Last Update Date:2022-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP025057363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health