Provider Demographics
NPI:1558969394
Name:WEBB, SAMONEE RICKELE
Entity Type:Individual
Prefix:MS
First Name:SAMONEE
Middle Name:RICKELE
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:PO BOX 413
Mailing Address - Street 2:
Mailing Address - City:NORTHFORK
Mailing Address - State:WV
Mailing Address - Zip Code:24868-0413
Mailing Address - Country:US
Mailing Address - Phone:304-888-7412
Mailing Address - Fax:
Practice Address - Street 1:313 LOCUST ST
Practice Address - Street 2:
Practice Address - City:PRINCETON
Practice Address - State:WV
Practice Address - Zip Code:24740-3625
Practice Address - Country:US
Practice Address - Phone:304-425-1212
Practice Address - Fax:681-282-5602
Is Sole Proprietor?:No
Enumeration Date:2020-10-14
Last Update Date:2020-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant