MEDICARE: GEORGENA R WESTMORELAND

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	172V00000X	Community Health Worker

General Provider Information

NPI Number	:	1619650348
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GEORGENA R WESTMORELAND

Provider Business Mailing Address
First Line	:	3748 GOVERNMENT ST
Second Line	:
City	:	ALEXANDRIA
State	:	LA
Zip	:	71302-3326
Country	:	US
Telephone Number	:	504-738-4157
Fax Number	:

Provider Business Practice Location Address
First Line	:	3303 TULANE AVE BLDG 3
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-7186
Country	:	US
Telephone Number	:	504-738-4157
Fax Number	:

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

Provider Enumeration Date	:	08/09/2023
Last Update Date	:	08/09/2023

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Directions to “ GEORGENA R WESTMORELAND ” Practice Location

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