Provider Demographics
NPI:1891870788
Name:WEBB, LEEANN M (APN)
Entity type:Individual
Prefix:
First Name:LEEANN
Middle Name:M
Last Name:WEBB
Suffix:
Gender:F
Credentials:APN
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 191
Mailing Address - Street 2:
Mailing Address - City:ROCKLAND
Mailing Address - State:DE
Mailing Address - Zip Code:19732-0191
Mailing Address - Country:US
Mailing Address - Phone:302-651-4200
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:NEMOURS DUPONT PEDIATRICS, VILLANOVA
Practice Address - Street 2:789 E. LANCASTER AVE., SUITE 10
Practice Address - City:VILLANOVA
Practice Address - State:PA
Practice Address - Zip Code:19085
Practice Address - Country:US
Practice Address - Phone:484-381-4010
Practice Address - Fax:484-381-4020
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP006648D363LP0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0071871Medicaid
NJ093083C54Medicare PIN
Q48489Medicare UPIN