Provider Demographics
NPI:1356393417
Name:WEBBER, NANCY FOX (NP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:FOX
Last Name:WEBBER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:55 OLD FARM RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-3434
Mailing Address - Country:US
Mailing Address - Phone:617-731-3400
Mailing Address - Fax:617-566-2224
Practice Address - Street 1:1 BROOKLINE PL
Practice Address - Street 2:SUITE 522
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-7224
Practice Address - Country:US
Practice Address - Phone:617-731-3400
Practice Address - Fax:617-566-2224
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA143885363LX0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LX0001XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWENP3793Medicare ID - Type Unspecified