Basic Information
| Provider Information | |||||||||
| NPI: | 1720083215 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | WESTMORELAND | ||||||||
| FirstName: | SUSANNE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | CRNP | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2954 HAMPTON COVE WAY SE | ||||||||
| Address2: | P.O. BOX 247 | ||||||||
| City: | OWENS CROSS ROADS | ||||||||
| State: | AL | ||||||||
| PostalCode: | 357639330 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2564268128 | ||||||||
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| Practice Location | |||||||||
| Address1: | 401 LOWELL DR SE | ||||||||
| Address2: | SUITE 5 | ||||||||
| City: | HUNTSVILLE | ||||||||
| State: | AL | ||||||||
| PostalCode: | 358013748 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2562651775 | ||||||||
| FaxNumber: | 2562651780 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2005 | ||||||||
| LastUpdateDate: | 07/09/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 363LF0000X | 1093786 | AL | Y | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Family |
No ID Information.