Individual
ANN MICHELLE WEBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CFNP
Contact information
Practice address
123 S MCKINLEY AVE, RENSSELAER, IN 47978-2949
(219) 866-1890
Mailing address
123 S MCKINLEY AVE, RENSSELAER, IN 47978-2949
(219) 866-1890
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
71001896A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000372084
ANTHEM PROVIDER NUMBER
IN
05
—
200532880
—
IN
01
—
9397732
PHCS PID NUMBER
IN
Enumeration date
03/22/2006
Last updated
11/30/2021
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