Individual
PHILLIP DAVID WESTBROOK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
112 FRONT AVE, WINNFIELD, LA 71483-7776
(318) 727-9298
Mailing address
112 FRONT AVE-CALVIN, WINNFIELD, LA 71483-7776
(318) 727-9298
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN036870/AP01396
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70805253
—
NM
01
—
NM006H71
BCBS
NM
Enumeration date
06/16/2006
Last updated
05/20/2008
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