Provider Demographics
NPI:1225347560
Name:MCKENZIE-WESTLEY, BARBARA JOYCE (RN)
Entity Type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:JOYCE
Last Name:MCKENZIE-WESTLEY
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 1:23965 INKSTER RD
Mailing Address - Street 2:SUITE # 2
Mailing Address - City:BROWNSTOWN
Mailing Address - State:MI
Mailing Address - Zip Code:48164-9233
Mailing Address - Country:US
Mailing Address - Phone:313-268-5083
Mailing Address - Fax:
Practice Address - Street 1:23965 INKSTER RD
Practice Address - Street 2:SUITE # 2
Practice Address - City:BROWNSTOWN
Practice Address - State:MI
Practice Address - Zip Code:48164-9233
Practice Address - Country:US
Practice Address - Phone:313-268-5083
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704138672163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse