Individual
GAYLEY BLAINE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
3400 CIVIC CENTER BLVD, 2ND FL EAST, PHILADELPHIA, PA 19104-5127
(215) 615-4949
Mailing address
3400 CIVIC CENTER BLVD, 2ND FL EAST, PHILADELPHIA, PA 19104-5127
(215) 615-4949
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
SP009808
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103194715
—
PA
Enumeration date
08/22/2007
Last updated
03/28/2018
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