Healthcare Provider Details

I. General information

NPI: 1811668429
Provider Name (Legal Business Name): ALEXA DENISE WESTBROOK PMHNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2021
Last Update Date: 07/18/2025
Certification Date: 07/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6500 WEST FWY STE 700
FORT WORTH TX
76116-2167
US

IV. Provider business mailing address

3300 N TRIUMPH BLVD STE 500
LEHI UT
84043-6475
US

V. Phone/Fax

Practice location:
  • Phone: 817-527-8621
  • Fax:
Mailing address:
  • Phone: 801-821-2613
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number1192382
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: