Individual
MEGAN M. WESTLAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
2710 S RIFE MEDICAL LN, ROGERS, AR 72758-1452
(479) 338-0200
(479) 338-3056
Mailing address
PO BOX 507, LOWELL, AR 72745-0507
(913) 642-4900
(913) 381-0979
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
114650
KS
163W00000X
Registered Nurse
R077548
AR
367500000X
Certified Registered Nurse Anesthetist
143004
KS
367500000X
Certified Registered Nurse Anesthetist
Primary
C003105
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200725560A
—
KS
01
—
P00973651
RR MEDICARE
KS
Enumeration date
04/28/2011
Last updated
02/12/2016
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