Provider Demographics
NPI:1487110003
Name:WEBB, TAURA DANIELLE (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:TAURA
Middle Name:DANIELLE
Last Name:WEBB
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2314 PONDSIDE TER
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5750
Mailing Address - Country:US
Mailing Address - Phone:502-472-5547
Mailing Address - Fax:
Practice Address - Street 1:10 CENTER DR
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0004
Practice Address - Country:US
Practice Address - Phone:301-496-8985
Practice Address - Fax:301-480-3759
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2023-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY3012714363LF0000X
MDR257152363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily