Provider Demographics
NPI:1528095148
Name:WEBSTER, KATHERINE EILEEN (RN, APN-C)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:EILEEN
Last Name:WEBSTER
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Gender:F
Credentials:RN, APN-C
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Mailing Address - Street 1:601 ELMWOOD AVE BOX MED
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14642-0001
Mailing Address - Country:US
Mailing Address - Phone:585-602-0720
Mailing Address - Fax:
Practice Address - Street 1:46 PRINCE ST STE 3001
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-1023
Practice Address - Country:US
Practice Address - Phone:585-602-0720
Practice Address - Fax:585-530-2398
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2023-06-29
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Provider Licenses
StateLicense IDTaxonomies
NY3348952084N0400X
NJ26NJ00305600363LF0000X
NYF334895363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology