Provider Demographics
NPI:1922092782
Name:WESTMAN, ELLEN M (ARNP)
Entity Type:Individual
Prefix:MRS
First Name:ELLEN
Middle Name:M
Last Name:WESTMAN
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:112A PARKER ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-4008
Mailing Address - Country:US
Mailing Address - Phone:978-462-1110
Mailing Address - Fax:978-462-3889
Practice Address - Street 1:112A PARKER ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-4008
Practice Address - Country:US
Practice Address - Phone:978-462-1110
Practice Address - Fax:978-462-3889
Is Sole Proprietor?:No
Enumeration Date:2005-09-08
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA149833363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA324442Medicaid
MA324442Medicaid
MAP61040Medicare UPIN
MANP3811Medicare PIN