Individual
CHANTEL WESTBROOKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4730 W CAMPBELL AVE, PHOENIX, AZ 85031-1404
(602) 246-5155
Mailing address
4730 W CAMPBELL AVE, PHOENIX, AZ 85031-1404
(602) 246-5155
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP050533
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NA
—
AZ
05
—
NOTHING
—
AZ
Enumeration date
08/19/2019
Last updated
08/19/2019
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