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NPI Code Detail

MEDICARE: MS. LINDA LOU WESTFALL WHCNP, NMNP

MEDICARE:  MS. LINDA LOU WESTFALL  WHCNP, NMNP
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
1363LW0102XWomen's Health Nurse Practitioner000038040N7OR

General Provider Information

NPI Number : 1174571244
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LINDA LOU WESTFALL WHCNP, NMNP
Provider Business Mailing Address
First Line : PO BOX 1274
Second Line :
City : CANYONVILLE
State : OR
Zip : 97417-1274
Country : US
Telephone Number : 541-430-7305
Fax Number : 541-440-3505
Provider Business Practice Location Address
First Line : 621 W MADRONE ST
Second Line : SUITE 223
City : ROSEBURG
State : OR
Zip : 97470-3090
Country : US
Telephone Number : 541-440-3521
Fax Number : 541-440-3505
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/04/2006
Last Update Date : 07/08/2007

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Directions to “ MS. LINDA LOU WESTFALL WHCNP, NMNP” Practice Location

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