Provider Demographics
NPI:1962391946
Name:WEBB, BROOKLYNN MILAN SKYY
Entity type:Individual
Prefix:
First Name:BROOKLYNN
Middle Name:MILAN SKYY
Last Name:WEBB
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7732 AMELIA DR
Mailing Address - Street 2:
Mailing Address - City:REYNOLDSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:43068-7253
Mailing Address - Country:US
Mailing Address - Phone:614-400-2219
Mailing Address - Fax:
Practice Address - Street 1:1774 E MAIN ST APT 211
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205-2294
Practice Address - Country:US
Practice Address - Phone:513-917-0418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-07-02
Last Update Date:2025-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant