Provider Demographics
NPI:1649464116
Name:WESTMAN, JEANNE GAIL (RN)
Entity type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:GAIL
Last Name:WESTMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13091 DEXTER ST
Mailing Address - Street 2:
Mailing Address - City:THORNTON
Mailing Address - State:CO
Mailing Address - Zip Code:80241-3735
Mailing Address - Country:US
Mailing Address - Phone:303-280-3083
Mailing Address - Fax:
Practice Address - Street 1:13091 DEXTER ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80241-3735
Practice Address - Country:US
Practice Address - Phone:303-280-3083
Practice Address - Fax:303-614-1505
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-28
Last Update Date:2007-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO112765163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse