Individual
NICOLETTE WESTPHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.M.
Contact information
Practice address
11000 SPAIN RD NE STE E, ALBUQUERQUE, NM 87111-1895
(505) 271-1886
Mailing address
11000 SPAIN RD NE STE E, ALBUQUERQUE, NM 87111-1895
(505) 271-1886
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
287RX1
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00NM01R50M
BLUECROSS BLUE SHIELD ID
NM
Enumeration date
11/06/2006
Last updated
07/08/2007
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