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NPI Code Detail

MEDICARE: KARI LYNN WESTENHAVER R.N.

MEDICARE: KARI LYNN WESTENHAVER R.N.
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
1363L00000XNurse Practitioner95003444CA

General Provider Information

NPI Number : 1366887010
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARI LYNN WESTENHAVER R.N.
Provider Business Mailing Address
First Line : 1706 DESCANSO AVE
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-2514
Country : US
Telephone Number : 760-280-2230
Fax Number :
Provider Business Practice Location Address
First Line : 1706 DESCANSO AVE
Second Line :
City : SAN MARCOS
State : CA
Zip : 92078-2514
Country : US
Telephone Number : 760-685-7888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2013
Last Update Date : 09/07/2023

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