Provider Demographics
NPI:1851618086
Name:WEBB, PATRICE NACCARATO (PA)
Entity Type:Individual
Prefix:
First Name:PATRICE
Middle Name:NACCARATO
Last Name:WEBB
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:PATRICE
Other - Middle Name:ALLYNE
Other - Last Name:NACCARATO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA
Mailing Address - Street 1:1064 GOODLETTE ROAD
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34102
Mailing Address - Country:US
Mailing Address - Phone:239-649-1186
Mailing Address - Fax:239-649-1156
Practice Address - Street 1:1064 GOODLETTE ROAD
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34102
Practice Address - Country:US
Practice Address - Phone:239-649-1186
Practice Address - Fax:239-649-1156
Is Sole Proprietor?:No
Enumeration Date:2010-04-28
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPA9101213363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant