Healthcare Provider Details

I. General information

NPI: 1962444992
Provider Name (Legal Business Name): JANICE MARTHA WESTER APRN-BC, PMHCNS-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/12/2006
Last Update Date: 04/24/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

289 GREAT ROAD SUITE G1
ACTON MA
01720
US

IV. Provider business mailing address

289 GREAT ROAD SUITE G1
ACTON MA
01720
US

V. Phone/Fax

Practice location:
  • Phone: 978-679-1200
  • Fax: 978-486-4037
Mailing address:
  • Phone: 978-679-1200
  • Fax: 978-486-4037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WP0809X
TaxonomyAdult Psychiatric/Mental Health Registered Nurse
License Number158166
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License Number158166
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: