Provider Demographics
NPI:1457525636
Name:WEBB, BRANDY ELIZABETH (ND)
Entity Type:Individual
Prefix:DR
First Name:BRANDY
Middle Name:ELIZABETH
Last Name:WEBB
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4126 S J ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-3824
Mailing Address - Country:US
Mailing Address - Phone:206-225-0915
Mailing Address - Fax:
Practice Address - Street 1:6720 EASTSIDE DR NE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98422-1174
Practice Address - Country:US
Practice Address - Phone:253-952-2776
Practice Address - Fax:253-927-3748
Is Sole Proprietor?:No
Enumeration Date:2008-04-17
Last Update Date:2008-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001610175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath