Provider Demographics
NPI:1316304371
Name:WESTERVELT, MARGARET
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:WESTERVELT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2102 H ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-3314
Mailing Address - Country:US
Mailing Address - Phone:360-560-4048
Mailing Address - Fax:
Practice Address - Street 1:2102 H ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3314
Practice Address - Country:US
Practice Address - Phone:360-560-4048
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-01-21
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker