Provider Demographics
NPI:1902418221
Name:WEBB, ANDRIA MARIE (CPM)
Entity Type:Individual
Prefix:
First Name:ANDRIA
Middle Name:MARIE
Last Name:WEBB
Suffix:
Gender:F
Credentials:CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3432 HIGHGATE LN
Mailing Address - Street 2:
Mailing Address - City:SAINT CHARLES
Mailing Address - State:MO
Mailing Address - Zip Code:63301-1045
Mailing Address - Country:US
Mailing Address - Phone:314-603-0973
Mailing Address - Fax:
Practice Address - Street 1:3228 IVANHOE AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63139-2226
Practice Address - Country:US
Practice Address - Phone:314-603-0973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-18
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife