Individual
CICILY WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
132 N HIGGINS AVE, MISSOULA, MT 59802-4460
(406) 312-1098
Mailing address
132 N HIGGINS AVE, MISSOULA, MT 59802-4460
(406) 312-1098
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NUR-APRN-LIC-242126
MT
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-242126
MT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/24/2023
Last updated
10/31/2024
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