Individual
ANNA M WESTERVELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5402
(802) 847-7433
Mailing address
ONE MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5402
(802) 847-7433
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
NPP37602
RI
363LF0000X
Family Nurse Practitioner
Primary
082902-23
NH
363LF0000X
Family Nurse Practitioner
101.0094734
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002176201
RI MEDICARE
RI
01
—
002176202
MEDICARE PTAN LINKED TO CVMC
VT
01
—
07232011
BCBSRI
RI
01
—
08112011
NHPRI
RI
05
—
1021788
—
VT
05
—
110088970A
—
MA
01
—
939025129
RI MEDICARE GROUP
RI
05
—
AW84976
—
RI
Enumeration date
05/31/2011
Last updated
06/22/2020
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