Individual
HEATHER WESTERGARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
1529 CONANT AVE, BURLEY, ID 83318-1715
(208) 284-4619
Mailing address
1355 N UNIVERSITY AVE STE 210, PROVO, UT 84604-2721
(208) 284-4619
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
6982328-4405
UT
Other
Enumeration date
09/30/2021
Last updated
02/05/2022
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