Provider Demographics
NPI:1013987858
Name:WEBB, CHRISTINE H (RN)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:H
Last Name:WEBB
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:479 W 950 N
Mailing Address - Street 2:
Mailing Address - City:CENTERVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84014-1364
Mailing Address - Country:US
Mailing Address - Phone:801-298-2382
Mailing Address - Fax:
Practice Address - Street 1:479 W 950 N
Practice Address - Street 2:
Practice Address - City:CENTERVILLE
Practice Address - State:UT
Practice Address - Zip Code:84014-1364
Practice Address - Country:US
Practice Address - Phone:801-298-2382
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT193525-3102163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTU002OtherDESERET MUTUAL
UTU006OtherINTERMOUNTAIN HEALTH CARE