MEDICARE: HELEN ANNE WESTBURY RNA, CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	136921	TN
2	367500000X	Certified Registered Nurse Anesthetist	RN215264	GA

General Provider Information

NPI Number	:	1346310935
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HELEN ANNE WESTBURY RNA, CRNA

Provider Business Mailing Address
First Line	:	PO BOX 73709
Second Line	:
City	:	NEWNAN
State	:	GA
Zip	:	30271-3709
Country	:	US
Telephone Number	:	770-251-2060
Fax Number	:	678-854-9235

Provider Business Practice Location Address
First Line	:	500 W 3RD AVE
Second Line	:	STE 101
City	:	ALBANY
State	:	GA
Zip	:	31701-1985
Country	:	US
Telephone Number	:	229-312-5869
Fax Number	:	229-889-7055

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/09/2006
Last Update Date	:	01/29/2018

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