Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Gary Webb, APRN

Individual provider Psychiatric/Mental Health Registered Nurse · NPI 1063962140

Gary Webb, APRN is a Nurse Practitioner in Provo, Utah. Qualified in 2017, 9 years ago. Practices with Numinus Wellness UT Inc, a 51-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Connecticut and Utah.

Years since qualifying
9
Licensed in
CT, UT
In the registry since
2016
Specialties on file
4
What do these letters mean?
APRN — Advanced Practice Registered Nurse
The umbrella licence covering nurse practitioners, midwives, anaesthetists and clinical nurse specialists.

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Practice location Address checks out

750 N Freedom Blvd
Provo, UT 84601-1677
Phone: (801) 373-4760
Fax: (801) 373-0639
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 45 Wadsworth St, Hartford, CT 06106-7108 — (860) 527-1124

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X · Licence 8501433-4405 (UT)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 128181 (CT)
Psychiatric/Mental Health Registered Nurse Taxonomy 163WP0808X · Licence 8501433-3102 (UT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1063962140
Entity typeIndividual (Type 1)
GenderMale
Credentials APRN
Sole proprietorNo
NPI enumeratedOctober 12, 2016
Last updated in NPPESJuly 21, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Numinus Wellness Ut Inc — 51 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Provo