Healthcare Provider Details

I. General information

NPI: 1730820069
Provider Name (Legal Business Name): ABBIE NISTLER WESTLUND DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3301 7TH AVE
ANOKA MN
55303-4516
US

IV. Provider business mailing address

3301 7TH AVE
ANOKA MN
55303-4516
US

V. Phone/Fax

Practice location:
  • Phone: 651-431-5000
  • Fax: 651-431-7505
Mailing address:
  • Phone: 651-431-5000
  • Fax: 651-431-7505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number75416
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: