Provider Demographics
NPI:1285088138
Name:WEBB, WHITNEY DANIELLE (LPN)
Entity type:Individual
Prefix:MISS
First Name:WHITNEY
Middle Name:DANIELLE
Last Name:WEBB
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 385
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25802-0385
Mailing Address - Country:US
Mailing Address - Phone:304-890-6013
Mailing Address - Fax:
Practice Address - Street 1:105 SUNNY RD
Practice Address - Street 2:
Practice Address - City:MAX MEADOWS
Practice Address - State:VA
Practice Address - Zip Code:24360-4034
Practice Address - Country:US
Practice Address - Phone:304-890-6013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2016-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV33074164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse