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
Mailing address10068 N 5800 W, Highland, UT 84003-9115

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

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