Individual
ELAINE DEBORAH WEBBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PPCNP-BC
Contact information
Practice address
23133 ORCHARD LAKE RD STE 100, FARMINGTON, MI 48336-3278
(248) 477-0100
(248) 477-6153
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
163WP0200X
Pediatric Registered Nurse
4704136693
MI
363LP0200X
Pediatric Nurse Practitioner
Primary
4704136693
MI
Other
Enumeration date
10/03/2006
Last updated
11/17/2020
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