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Individual
PAULA WESTERGREN
Active
Individual
PAULA WESTERGREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
552030
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8Y5015
BLUE CROSS BLUE SHIELD
TX
01
—
P00642484
RAILROAD MEDICARE
TX
Enumeration date
04/08/2008
Last updated
03/24/2009
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