Provider Demographics
NPI:1285415331
Name:WEBB, PAMELA JANE (IBCLC, RN)
Entity type:Individual
Prefix:
First Name:PAMELA
Middle Name:JANE
Last Name:WEBB
Suffix:
Gender:F
Credentials:IBCLC, RN
Other - Prefix:
Other - First Name:PAMELA
Other - Middle Name:JANE
Other - Last Name:PATTERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9105 GRANITE PL
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99507-3946
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9105 GRANITE PL
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99507-3946
Practice Address - Country:US
Practice Address - Phone:907-720-2002
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK187449163WL0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WL0100XNursing Service ProvidersRegistered NurseLactation Consultant