Provider Demographics
NPI:1033652615
Name:WEBB, THERESA MARIE (APRN)
Entity type:Individual
Prefix:DR
First Name:THERESA
Middle Name:MARIE
Last Name:WEBB
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:5015 W NASSAU ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-3814
Mailing Address - Country:US
Mailing Address - Phone:813-356-0196
Mailing Address - Fax:813-356-0197
Practice Address - Street 1:1142 BELL SHOALS RD
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-8909
Practice Address - Country:US
Practice Address - Phone:813-685-0827
Practice Address - Fax:813-685-0968
Is Sole Proprietor?:No
Enumeration Date:2016-11-30
Last Update Date:2024-12-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLAPRN9165978363LP0808X
FLARNP9165978363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health