Basic Information
Provider Information
NPI: 1710406384
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: WESTMORELAND
FirstName: DAWN
MiddleName: LYNN
NamePrefix:  
NameSuffix:  
Credential: NP-C
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 130 SUTTER ST FL 2
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941044009
CountryCode: US
TelephoneNumber: 4156586791
FaxNumber:  
Practice Location
Address1: 110 SUTTER ST FL 6
Address2:  
City: SAN FRANCISCO
State: CA
PostalCode: 941044020
CountryCode: US
TelephoneNumber: 4152910480
FaxNumber: 4152910489
Other Information
ProviderEnumerationDate: 09/14/2017
LastUpdateDate: 03/28/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LF0000X95011375CAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
363LF0000XR223002MDN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily

No ID Information.


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