Provider Demographics
NPI:1508231721
Name:WEBB, MARC DAVID (DNP)
Entity Type:Individual
Prefix:DR
First Name:MARC
Middle Name:DAVID
Last Name:WEBB
Suffix:
Gender:M
Credentials:DNP
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Mailing Address - Street 1:1635 AURORA CT
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80045-2541
Mailing Address - Country:US
Mailing Address - Phone:720-848-0000
Mailing Address - Fax:303-293-2309
Practice Address - Street 1:1635 AURORA CT
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80045-2541
Practice Address - Country:US
Practice Address - Phone:720-848-0000
Practice Address - Fax:303-293-2309
Is Sole Proprietor?:No
Enumeration Date:2015-12-14
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MARN60626622363LP0808X
WAAP60975342363LP0808X
COAPN.0995501-NP363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health