Individual
ELLEN WEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 CAMPBELL AVE SW, ROANOKE, VA 24016-3627
(540) 400-7431
Mailing address
35 PATTON AVE NE, ROANOKE, VA 24016-1917
(540) 798-5867
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
0024194008
VA
Other
Enumeration date
07/11/2025
Last updated
07/11/2025
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