Provider Demographics
NPI:1043819519
Name:WESTFALL-HOLLINGSWORTH, JOICE (RN)
Entity Type:Individual
Prefix:
First Name:JOICE
Middle Name:
Last Name:WESTFALL-HOLLINGSWORTH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3530 GREENWOOD BLVD STE A
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MO
Mailing Address - Zip Code:63143-4211
Mailing Address - Country:US
Mailing Address - Phone:314-645-5775
Mailing Address - Fax:314-645-5775
Practice Address - Street 1:3530 GREENWOOD BLVD STE A
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MO
Practice Address - Zip Code:63143-4211
Practice Address - Country:US
Practice Address - Phone:314-645-5775
Practice Address - Fax:314-645-5775
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-25
Last Update Date:2020-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty