Doctor Name: | MRS. AMY MARIE WESTRICK |
NPI Number: | 1275828469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NP |
License Number: | R 161374-2 |
Business Practice Address: | 901 9th St N Essentia Health Virginia Medical Arts Virginia, MN - 557922325 |
Business Phone Number: | 2187487750 |
Business Fax Number: | 2187487715 |
Mailing Address: | 901 9th St N, Essentia Health Virginia Medical Arts VIRGINIA |
State: | MN |
Postal Code: | 557922325 |
Phone Number: | 2187487750 |
Fax Number: | 2187487715 |
NPI Enumeration Date: | 06/15/2011 |
NPI Last Update Date: | 10/18/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | R 161374-2 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |