Provider Demographics
NPI:1114404514
Name:WESTBERG, KRISTEN
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:
Last Name:WESTBERG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 N 11TH STREET PL
Mailing Address - Street 2:
Mailing Address - City:ADEL
Mailing Address - State:IA
Mailing Address - Zip Code:50003-1105
Mailing Address - Country:US
Mailing Address - Phone:515-490-2345
Mailing Address - Fax:515-478-1113
Practice Address - Street 1:427 N 11TH STREET PL
Practice Address - Street 2:
Practice Address - City:ADEL
Practice Address - State:IA
Practice Address - Zip Code:50003
Practice Address - Country:US
Practice Address - Phone:515-490-2345
Practice Address - Fax:515-478-1113
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-27
Last Update Date:2018-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child