Individual
MR. JOHN Q WESTBROOK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1104 TUSCULUM BLVD, SUITE 114, GREENEVILLE, TN 37745-4091
(833) 500-9914
Mailing address
PO BOX 896138, CHARLOTTE, NC 28289-6138
(423) 639-0941
(423) 638-3401
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
10574
TN
367500000X
Certified Registered Nurse Anesthetist
Primary
RN0000084218
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3602250
—
TN
01
—
4082689
BC/BS
TN
Enumeration date
04/10/2006
Last updated
09/22/2022
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