Provider Demographics
NPI:1427177385
Name:PRICE-DOUGLAS, WEBRA (CRNP)
Entity type:Individual
Prefix:
First Name:WEBRA
Middle Name:
Last Name:PRICE-DOUGLAS
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 BEN OAKS DR E
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-2206
Mailing Address - Country:US
Mailing Address - Phone:410-987-1464
Mailing Address - Fax:
Practice Address - Street 1:1212 ASQUITHPINES PL
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-2149
Practice Address - Country:US
Practice Address - Phone:410-647-4997
Practice Address - Fax:410-647-8115
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR125577363LN0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0005XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal, Critical Care