Provider Demographics
NPI:1770091753
Name:REID-WEBB, KEYSHA DONTREA (DNP, FNP-BC)
Entity type:Individual
Prefix:DR
First Name:KEYSHA
Middle Name:DONTREA
Last Name:REID-WEBB
Suffix:
Gender:F
Credentials:DNP, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8114 SANDPIPER CIRCLE
Mailing Address - Street 2:SUITE 108
Mailing Address - City:NOTTINGHAM
Mailing Address - State:MD
Mailing Address - Zip Code:21236-5901
Mailing Address - Country:US
Mailing Address - Phone:443-725-7747
Mailing Address - Fax:833-974-2182
Practice Address - Street 1:8114 SANDPIPER CIR STE 108
Practice Address - Street 2:
Practice Address - City:NOTTINGHAM
Practice Address - State:MD
Practice Address - Zip Code:21236-5901
Practice Address - Country:US
Practice Address - Phone:443-725-7747
Practice Address - Fax:833-974-2182
Is Sole Proprietor?:No
Enumeration Date:2018-01-12
Last Update Date:2025-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR154066363LF0000X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDR154066OtherLISENCE