Individual
TARA LEA WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, FNP-BC
Contact information
Practice address
3771 ROBERT C BYRD DRIVE, BECKLEY, WV 25801
(304) 255-5710
Mailing address
956 N EISENHOWER DR, BECKLEY, WV 25801-3114
(681) 238-5258
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
50842
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001706071
BCBS
WV
01
—
155429
UMWA FUNDS
WV
05
—
7105150001
—
WV
Enumeration date
04/28/2006
Last updated
06/07/2013
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