Provider Demographics
NPI:1942315619
Name:WEBSTER, NELLE VIRGINIA (RPH)
Entity Type:Individual
Prefix:MS
First Name:NELLE
Middle Name:VIRGINIA
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15371 MONTANUS DR
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-2523
Mailing Address - Country:US
Mailing Address - Phone:540-825-1837
Mailing Address - Fax:540-825-7279
Practice Address - Street 1:15371 MONTANUS DR
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-2523
Practice Address - Country:US
Practice Address - Phone:540-825-1837
Practice Address - Fax:540-825-7279
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-20
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0202010868183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist