Provider Demographics
NPI:1932281953
Name:WESTPHAL, CHRIS (RNFA)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:WESTPHAL
Suffix:
Gender:M
Credentials:RNFA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:126 6TH AVE SW STE B
Mailing Address - Street 2:
Mailing Address - City:RONAN
Mailing Address - State:MT
Mailing Address - Zip Code:59864-2639
Mailing Address - Country:US
Mailing Address - Phone:406-676-4436
Mailing Address - Fax:406-676-4430
Practice Address - Street 1:126 6TH AVE SW STE B
Practice Address - Street 2:
Practice Address - City:RONAN
Practice Address - State:MT
Practice Address - Zip Code:59864-2639
Practice Address - Country:US
Practice Address - Phone:406-676-4436
Practice Address - Fax:406-676-4430
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT28590163WR0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WR0006XNursing Service ProvidersRegistered NurseRegistered Nurse First Assistant