Provider Demographics
NPI:1528820230
Name:WESTLEY FAMILY PRACTICE
Entity type:Organization
Organization Name:WESTLEY FAMILY PRACTICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:CRYSTAL
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:WESTLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:504-508-2735
Mailing Address - Street 1:3941 HOUMA BLVD STE 1B
Mailing Address - Street 2:
Mailing Address - City:METAIRIE
Mailing Address - State:LA
Mailing Address - Zip Code:70006-2920
Mailing Address - Country:US
Mailing Address - Phone:504-508-2735
Mailing Address - Fax:
Practice Address - Street 1:3941 HOUMA BLVD STE 1B
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006-2920
Practice Address - Country:US
Practice Address - Phone:504-508-2735
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily