Provider Demographics
NPI:1912989914
Name:WEBB, JANET PATRICIA (APRN)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:PATRICIA
Last Name:WEBB
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 CHASE PKWY FL 3
Mailing Address - Street 2:WATERBURY HOSPITAL CARDIAC DIAGNOSTIC CENTER
Mailing Address - City:WATERBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06708-3352
Mailing Address - Country:US
Mailing Address - Phone:203-578-3940
Mailing Address - Fax:203-756-7283
Practice Address - Street 1:455 CHASE PKWY FL 3
Practice Address - Street 2:WATERBURY HOSPITAL CARDIAC DIAGNOSTIC CENTER
Practice Address - City:WATERBURY
Practice Address - State:CT
Practice Address - Zip Code:06708-3352
Practice Address - Country:US
Practice Address - Phone:203-578-3940
Practice Address - Fax:203-756-7283
Is Sole Proprietor?:No
Enumeration Date:2005-11-16
Last Update Date:2012-02-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CTE44416163W00000X
CT001700363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
500000982Medicare ID - Type Unspecified