Individual
MACKENZIE SUE WESTPHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
601 W SPRUCE ST STE J, MISSOULA, MT 59802-4047
(406) 327-3350
(406) 327-3355
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
NUR-APRN-LIC-217090
MT
363LF0000X
Family Nurse Practitioner
Primary
NUR-APRN-LIC-217090
MT
363LP2300X
Primary Care Nurse Practitioner
NUR-APRN-LIC-217090
MT
Other
Enumeration date
01/24/2022
Last updated
06/19/2025
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