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General NPI Number Information
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NPI Number | 1992166912
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Entity Type | Individual
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Provider Name | LAQUICHA WESTERVELT FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 24552 PACIFIC PARK DR
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3055
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Country | US
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Telephone | 949-647-4618
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Fax |
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Provider Business Mailing Address
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Address Line | 113 PATTERN
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City | IRVINE
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State | CA
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Zip | 92618-1411
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Country | US
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Telephone | 949-351-1044
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95003877
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95003877
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License Number State | CA
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