1568434884 NPI number — MICHELE RATHBONE WESTMORELAND CNM

Table of content: MICHELE RATHBONE WESTMORELAND CNM (NPI 1568434884)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1568434884 NPI number — MICHELE RATHBONE WESTMORELAND CNM

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WESTMORELAND
Provider First Name:
MICHELE
Provider Middle Name:
RATHBONE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CNM
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROUNDS
Provider Other First Name:
MICHELE
Provider Other Middle Name:
DENISE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CNM
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1568434884
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
05/15/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2817 REILLY RD
Provider Second Line Business Mailing Address:
WOMACK ARMY MEDICAL CENTER
Provider Business Mailing Address City Name:
FORT BRAGG
Provider Business Mailing Address State Name:
NC
Provider Business Mailing Address Postal Code:
28310-7324
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
910-907-6000
Provider Business Mailing Address Fax Number:
910-907-8467

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2817 REILLY RD
Provider Second Line Business Practice Location Address:
WOMACK ARMY MEDICAL CENTER
Provider Business Practice Location Address City Name:
FORT BRAGG
Provider Business Practice Location Address State Name:
NC
Provider Business Practice Location Address Postal Code:
28310-7324
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
910-907-6000
Provider Business Practice Location Address Fax Number:
910-907-8467
Provider Enumeration Date:
02/02/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367A00000X , with the licence number:  180739 , registered in the state of NC ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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