Individual
ERIK J. WESTLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-8000
(479) 338-3056
Mailing address
PO BOX 507, LOWELL, AR 72745-0507
(913) 647-4100
(913) 647-4120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
114483
KS
163W00000X
Registered Nurse
R099068
AR
367500000X
Certified Registered Nurse Anesthetist
143005
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
C003101
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200640180A
—
OK
05
—
210393001
—
AR
01
—
5BE62
BCBS ARKANSAS
AR
05
—
910010341
—
MO
01
—
P01602379
RAILROAD
AR
Enumeration date
04/28/2011
Last updated
06/18/2021
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