Provider Demographics
NPI:1104085612
Name:WESTLUND, KAREN LESLIE (RN)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LESLIE
Last Name:WESTLUND
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:KAREN
Other - Middle Name:LESLIE
Other - Last Name:LAMBRIDES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:225 SMITH AVE N
Mailing Address - Street 2:#500
Mailing Address - City:ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102
Mailing Address - Country:US
Mailing Address - Phone:651-292-0616
Mailing Address - Fax:651-726-7258
Practice Address - Street 1:225 SMITH AVE N
Practice Address - Street 2:#500
Practice Address - City:ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102
Practice Address - Country:US
Practice Address - Phone:651-292-0616
Practice Address - Fax:651-726-7258
Is Sole Proprietor?:No
Enumeration Date:2008-06-09
Last Update Date:2008-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1062759163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse