Provider Demographics
NPI:1952974446
Name:WEBB, CHRISTINE ELAINE (MSN APRN FNP-C)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ELAINE
Last Name:WEBB
Suffix:
Gender:F
Credentials:MSN APRN FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 WILLOW CREEK RD
Mailing Address - Street 2:SUITE 1200
Mailing Address - City:PRESCOTT
Mailing Address - State:AZ
Mailing Address - Zip Code:86301-1641
Mailing Address - Country:US
Mailing Address - Phone:928-458-2850
Mailing Address - Fax:
Practice Address - Street 1:1001 WILLOW CREEK RD
Practice Address - Street 2:SUITE 1200
Practice Address - City:PRESCOTT
Practice Address - State:AZ
Practice Address - Zip Code:86301-1641
Practice Address - Country:US
Practice Address - Phone:928-458-2850
Practice Address - Fax:928-458-2848
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ257108363LF0000X, 163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine