| Doctor Name: | MRS. MARYANN WEBSTER |
| NPI Number: | 1093792160 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | 002372 |
| Business Practice Address: | 13 Church Rd East Granby, CT - 060260518 |
| Business Phone Number: | 8606534526 |
| Business Fax Number: | 8606535209 |
| Mailing Address: | 13 Church Rd, EAST GRANBY |
| State: | CT |
| Postal Code: | 060260518 |
| Phone Number: | 8606534526 |
| Fax Number: | 8606535209 |
| NPI Enumeration Date: | 12/29/2005 |
| NPI Last Update Date: | 10/08/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 002372 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |