Individual
KRISTY G. WESTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, PHN
Contact information
Practice address
513 E BISMARCK EXPY STE 8, BISMARCK, ND 58504-6577
(701) 355-0603
Mailing address
5605 47TH AVE S, FARGO, ND 58104-6074
(612) 462-2382
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
1742561
MN
163W00000X
Registered Nurse
Primary
R48601
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
87-1368008
—
ND
Enumeration date
07/16/2021
Last updated
07/16/2021
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