Provider Demographics
NPI:1174295158
Name:MEYER-WEBB, KAREN (FNP-)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:MEYER-WEBB
Suffix:
Gender:F
Credentials:FNP-
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 4189
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-4189
Mailing Address - Country:US
Mailing Address - Phone:954-363-9582
Mailing Address - Fax:954-363-9663
Practice Address - Street 1:3505 E HILLSBOROUGH AVE STE 101
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33610-4547
Practice Address - Country:US
Practice Address - Phone:813-415-0100
Practice Address - Fax:813-415-0200
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-29
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024182719363LF0000X
FLAPRN11024599363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily