Provider Demographics
NPI:1396247938
Name:WESTFALL, SELAH (APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:SELAH
Middle Name:
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 MERZ BLVD
Mailing Address - Street 2:
Mailing Address - City:FAIRLAWN
Mailing Address - State:OH
Mailing Address - Zip Code:44333-3629
Mailing Address - Country:US
Mailing Address - Phone:234-529-4700
Mailing Address - Fax:
Practice Address - Street 1:6124 ELMDALE RD
Practice Address - Street 2:
Practice Address - City:BROOKPARK
Practice Address - State:OH
Practice Address - Zip Code:44142-3903
Practice Address - Country:US
Practice Address - Phone:216-409-6884
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2025-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN.357446163W00000X
OHAPRN.CNP.024487363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse