Provider Demographics
NPI:1578061396
Name:WEBB, CONSTANCE M (NP-BC)
Entity type:Individual
Prefix:
First Name:CONSTANCE
Middle Name:M
Last Name:WEBB
Suffix:
Gender:F
Credentials:NP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14264 MURPHY CIR E
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46074-0099
Mailing Address - Country:US
Mailing Address - Phone:317-610-6065
Mailing Address - Fax:
Practice Address - Street 1:11708 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-5706
Practice Address - Country:US
Practice Address - Phone:317-814-6190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-01-26
Last Update Date:2025-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN71009071A363LA2200X
CA95008039363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner