Provider Demographics
NPI:1962444992
Name:WESTER, JANICE MARTHA (APRN-BC, PMHCNS-BC)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:MARTHA
Last Name:WESTER
Suffix:
Gender:F
Credentials:APRN-BC, PMHCNS-BC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:289 GREAT ROAD
Mailing Address - Street 2:SUITE G1
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720
Mailing Address - Country:US
Mailing Address - Phone:978-679-1200
Mailing Address - Fax:978-486-4037
Practice Address - Street 1:289 GREAT ROAD
Practice Address - Street 2:SUITE G1
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720
Practice Address - Country:US
Practice Address - Phone:978-679-1200
Practice Address - Fax:978-486-4037
Is Sole Proprietor?:No
Enumeration Date:2006-06-12
Last Update Date:2019-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA158166163WP0809X, 364SP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP0809XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPsychiatric/Mental Health, Adult
No163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, Adult
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA9939197OtherAETNA
MA1962444992OtherBLUE CROSS BLUE SHIELD
MA1551904OtherCOVENTRY-FIRST HEALTH
MA020860Medicaid
MA600024931OtherMAGELLAN
MA1962444992OtherTRICARE