Provider Demographics
NPI:1558179069
Name:WEBB, CHARNELL ANN (MEDICATION AIDE)
Entity type:Individual
Prefix:
First Name:CHARNELL
Middle Name:ANN
Last Name:WEBB
Suffix:
Gender:F
Credentials:MEDICATION AIDE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3428 KANSAS AVE, OMAHA, NE, USA
Mailing Address - Street 2:KANSA AVE
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68111
Mailing Address - Country:US
Mailing Address - Phone:402-714-2283
Mailing Address - Fax:
Practice Address - Street 1:3428 KANSAS AVE, OMAHA, NE, USA
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111
Practice Address - Country:US
Practice Address - Phone:402-714-2283
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-30
Last Update Date:2024-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health