Provider Demographics
NPI:1902825748
Name:WESTER, CAROL M (APRN)
Entity Type:Individual
Prefix:MS
First Name:CAROL
Middle Name:M
Last Name:WESTER
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BRANDT ISLAND RD
Mailing Address - Street 2:P.O. BOX 1747
Mailing Address - City:MATTAPOISETT
Mailing Address - State:MA
Mailing Address - Zip Code:02739-1704
Mailing Address - Country:US
Mailing Address - Phone:508-758-3200
Mailing Address - Fax:508-758-3288
Practice Address - Street 1:2 BRANDT ISLAND RD
Practice Address - Street 2:
Practice Address - City:MATTAPOISETT
Practice Address - State:MA
Practice Address - Zip Code:02739-1704
Practice Address - Country:US
Practice Address - Phone:508-758-3200
Practice Address - Fax:508-758-3288
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2008-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAMA 137492 PC363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAPN0526OtherBCBS INDEMNITY
MAPN0526OtherBCBS INDEMNITY