Individual
GARY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
750 N FREEDOM BLVD, PROVO, UT 84601-1677
(801) 373-4760
(801) 373-0639
Mailing address
10068 N 5800 W, HIGHLAND, UT 84003-9115
(435) 225-4258
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
128181
CT
163WP0808X
Psychiatric/Mental Health Registered Nurse
8501433-3102
UT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
8501433-4405
UT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/12/2016
Last updated
07/21/2022
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