Individual
MARIAH WILLETT WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
10136 NORTONVILLE RD, DAWSON SPRINGS, KY 42408-8949
(270) 619-3256
Mailing address
10136 NORTONVILLE RD, DAWSON SPRINGS, KY 42408-8949
(270) 619-3256
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
3013156
KY
363LG0600X
Gerontology Nurse Practitioner
3013156
KY
363LP2300X
Primary Care Nurse Practitioner
3013156
KY
Other
Enumeration date
02/26/2020
Last updated
05/13/2020
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