Provider Demographics
NPI:1376969857
Name:WESTRE, PETER LYNN (RN CNP)
Entity Type:Individual
Prefix:MR
First Name:PETER
Middle Name:LYNN
Last Name:WESTRE
Suffix:
Gender:M
Credentials:RN CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:446 NICHOLS CT
Mailing Address - Street 2:
Mailing Address - City:SAINT PETER
Mailing Address - State:MN
Mailing Address - Zip Code:56082-1670
Mailing Address - Country:US
Mailing Address - Phone:507-351-0131
Mailing Address - Fax:
Practice Address - Street 1:251 WOODLAKE DR SE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-5530
Practice Address - Country:US
Practice Address - Phone:507-351-0131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-09
Last Update Date:2014-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR1838336163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health