Provider Demographics
NPI:1497882898
Name:WEBB, CHERIE R (CRNP)
Entity Type:Individual
Prefix:MS
First Name:CHERIE
Middle Name:R
Last Name:WEBB
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:CHERRIE
Other - Middle Name:R
Other - Last Name:WEBB
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:8687 STONEHOUSE DR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-1936
Mailing Address - Country:US
Mailing Address - Phone:301-325-4934
Mailing Address - Fax:
Practice Address - Street 1:3333 N CALVERT ST STE 650
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-6516
Practice Address - Country:US
Practice Address - Phone:410-554-6727
Practice Address - Fax:410-554-2044
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-27
Last Update Date:2020-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR119145363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care