Basic Information
| Provider Information | |||||||||
| NPI: | 1962444992 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | WESTER | ||||||||
| FirstName: | JANICE | ||||||||
| MiddleName: | MARTHA | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | APRN-BC, PMHCNS-BC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 289 GREAT ROAD | ||||||||
| Address2: | SUITE G1 | ||||||||
| City: | ACTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786791200 | ||||||||
| FaxNumber: | 9784864037 | ||||||||
| Practice Location | |||||||||
| Address1: | 289 GREAT ROAD | ||||||||
| Address2: | SUITE G1 | ||||||||
| City: | ACTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 01720 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9786791200 | ||||||||
| FaxNumber: | 9784864037 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/12/2006 | ||||||||
| LastUpdateDate: | 04/24/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 163WP0809X | 158166 | MA | N | Nursing Service Providers | Registered Nurse | Psych/Mental Health, Adult | 364SP0809X | 158166 | MA | Y | Physician Assistants & Advanced Practice Nursing Providers | Clinical Nurse Specialist | Psych/Mental Health, Adult |
ID Information
| ID | Type | State | Issuer | Description | 9939197 | 01 | MA | AETNA | OTHER | 1962444992 | 01 | MA | BLUE CROSS BLUE SHIELD | OTHER | 1551904 | 01 | MA | COVENTRY-FIRST HEALTH | OTHER | 020860 | 05 | MA | MEDICAID | 600024931 | 01 | MA | MAGELLAN | OTHER | 1962444992 | 01 | MA | TRICARE | OTHER |