Provider Demographics
NPI:1164672887
Name:WESTFALL, LINDA JANE (LPN)
Entity type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:JANE
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:MISS
Other - First Name:LINDA
Other - Middle Name:JANE
Other - Last Name:VANOCKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:117 STONY ROAD
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:NY
Mailing Address - Zip Code:14086-1518
Mailing Address - Country:US
Mailing Address - Phone:716-913-9711
Mailing Address - Fax:716-681-0218
Practice Address - Street 1:117 STONY ROAD
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:NY
Practice Address - Zip Code:14086-1518
Practice Address - Country:US
Practice Address - Phone:716-913-9711
Practice Address - Fax:716-681-0218
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-30
Last Update Date:2008-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY223020-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse