MEDICARE: MRS. CHRISTINE GISKA WESTPHAL RN MSN APRN-BC

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
1	363L00000X	Nurse Practitioner	4704109183	MI

General Provider Information

NPI Number	:	1386676195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHRISTINE GISKA WESTPHAL RN MSN APRN-BC

Provider Business Mailing Address
First Line	:	18101 OAKWOOD BLVD STE 126
Second Line	:
City	:	DEARBORN
State	:	MI
Zip	:	48124-4089
Country	:	US
Telephone Number	:	313-593-8614
Fax Number	:	313-436-2406

Provider Business Practice Location Address
First Line	:	18101 OAKWOOD
Second Line	:	SUITE 126
City	:	DEARBORN
State	:	MI
Zip	:	48123-2500
Country	:	US
Telephone Number	:	313-382-8296
Fax Number	:	313-436-2406

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	02/24/2025

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