Provider Demographics
NPI:1528006871
Name:WEBBER, PAMELA B (CFNP, PHD)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:B
Last Name:WEBBER
Suffix:
Gender:F
Credentials:CFNP, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:136 LINDEN DR
Mailing Address - Street 2:SUITE 104
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-2818
Mailing Address - Country:US
Mailing Address - Phone:540-504-0281
Mailing Address - Fax:540-678-9025
Practice Address - Street 1:172 LINDEN DR
Practice Address - Street 2:SUITE 100
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-2818
Practice Address - Country:US
Practice Address - Phone:540-722-8172
Practice Address - Fax:540-678-9025
Is Sole Proprietor?:No
Enumeration Date:2006-06-02
Last Update Date:2007-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024059737207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
S90831Medicare UPIN
VA006933I71Medicare ID - Type Unspecified