Basic Information
Provider Information
NPI: 1568434884
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WESTMORELAND
FirstName: MICHELE
MiddleName: RATHBONE
NamePrefix:  
NameSuffix:  
Credential: CNM
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: ROUNDS
OtherFirstName: MICHELE
OtherMiddleName: DENISE
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential: CNM
OtherLastNameType: 1
Mailing Information
Address1: 2817 REILLY RD
Address2: WOMACK ARMY MEDICAL CENTER
City: FORT BRAGG
State: NC
PostalCode: 283107324
CountryCode: US
TelephoneNumber: 9109076000
FaxNumber: 9109078467
Practice Location
Address1: 2817 REILLY RD
Address2: WOMACK ARMY MEDICAL CENTER
City: FORT BRAGG
State: NC
PostalCode: 283107324
CountryCode: US
TelephoneNumber: 9109076000
FaxNumber: 9109078467
Other Information
ProviderEnumerationDate: 02/02/2006
LastUpdateDate: 05/15/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
367A00000X180739NCY Physician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife 

No ID Information.


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