Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LF0000X | Nurse Practitioner - Family Medicine | SP013359 | PA |
NPI | 1003239690 |
---|---|
Provider Name | Janna A Westfall |
First Address | Aliquippa, PA 15001-4701 |
Second Address | Pittsburgh, PA 15221-4533 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/02/2014 |
Last Update Date | 31/07/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
SP013359 | LICENSE (01) | PA |