MEDICARE: SHANA R WESTERFIELD NP

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	237049	TX

General Provider Information

NPI Number	:	1902103450
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHANA R WESTERFIELD NP

Provider Business Mailing Address
First Line	:	1602 BERNARD WAY
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77058-2316
Country	:	US
Telephone Number	:	281-286-8269
Fax Number	:

Provider Business Practice Location Address
First Line	:	4600 POST OAK PLACE DR STE 307
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-9727
Country	:	US
Telephone Number	:	713-581-8793
Fax Number	:

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

Provider Enumeration Date	:	02/18/2011
Last Update Date	:	08/31/2011

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