KELLIE S WEBSTER FNP NPI 1942440805

NPI Information

NPI: 1942440805
Provider Name: KELLIE S WEBSTER, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Address:
865 N ARIZOLA RD
CASA GRANDE, AZ
ZIP 85122
Phone: (520) 836-3446
Get Directions

Kellie S Webster, FNP is a family nurse practitioner in Casa Grande, AZ. Kellie S Webster, FNP NPI is 1942440805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

865 N ARIZOLA RD
CASA GRANDE, AZ
ZIP 85122-011
Phone: (520) 836-3446
Fax: (520) 836-8807

The enumeration date for this NPI number is 3/4/2009 and was last updated on 11/29/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	TAP3280	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	425346	MEDICAID	ARIZONA
2	03-31815	OTHER		MEDICARE
3	Z90638	OTHER		MEDICARE
4	ZFQ31815	OTHER		MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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