Provider Demographics
NPI:1356801443
Name:MARIANNE WEBB APN RXN
Entity type:Organization
Organization Name:MARIANNE WEBB APN RXN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:WEBB
Authorized Official - Suffix:
Authorized Official - Credentials:APN, RXN
Authorized Official - Phone:303-835-1545
Mailing Address - Street 1:PO BOX 201
Mailing Address - Street 2:
Mailing Address - City:HAXTUN
Mailing Address - State:CO
Mailing Address - Zip Code:80731-0201
Mailing Address - Country:US
Mailing Address - Phone:303-835-1545
Mailing Address - Fax:303-872-4884
Practice Address - Street 1:106 S LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:HAXTUN
Practice Address - State:CO
Practice Address - Zip Code:80731-2827
Practice Address - Country:US
Practice Address - Phone:303-835-1545
Practice Address - Fax:303-872-4884
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-23
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, AdultGroup - Single Specialty