Provider Demographics
NPI:1386676195
Name:WESTPHAL, CHRISTINE GISKA (RN MSN APRN-BC)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:GISKA
Last Name:WESTPHAL
Suffix:
Gender:F
Credentials:RN MSN APRN-BC
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Mailing Address - Street 1:18101 OAKWOOD BLVD STE 126
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-4089
Mailing Address - Country:US
Mailing Address - Phone:313-593-8614
Mailing Address - Fax:313-436-2406
Practice Address - Street 1:18101 OAKWOOD
Practice Address - Street 2:SUITE 126
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48123-2500
Practice Address - Country:US
Practice Address - Phone:313-382-8296
Practice Address - Fax:313-436-2406
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2022-07-22
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI4704109183363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner