Individual
KIMBERLY A WESTRA
Active
Individual
KIMBERLY A WESTRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN354673L
PA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024183064
VA
367500000X
Certified Registered Nurse Anesthetist
053594
PA
367500000X
Certified Registered Nurse Anesthetist
L6-0A00820
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018704150005
—
PA
01
—
11803087
CAQH
PA
01
—
1419911
KHP CENTRAL
PA
01
—
1542843
GATEWAY
PA
01
—
2106205000
INDEP. BLUE CROSS
PA
01
—
50003224
CAPITAL ADVANTAGE
PA
01
—
77529
GEISINGER
PA
01
—
9401436
AETNA
PA
Enumeration date
10/03/2005
Last updated
11/02/2023
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