Provider Demographics
NPI:1932901873
Name:WEBB, AUSTIN BENJAMIN (MS, RDN, CNSC)
Entity type:Individual
Prefix:MR
First Name:AUSTIN
Middle Name:BENJAMIN
Last Name:WEBB
Suffix:
Gender:M
Credentials:MS, RDN, CNSC
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 41765
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85717-1765
Mailing Address - Country:US
Mailing Address - Phone:425-890-4155
Mailing Address - Fax:
Practice Address - Street 1:1621 E WAVERLY ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-3702
Practice Address - Country:US
Practice Address - Phone:425-890-4155
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-24
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered