Provider Demographics
NPI:1992216659
Name:WESTFALL, RACHAEL ANN THI (NP-C)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:ANN THI
Last Name:WESTFALL
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:ANN THI
Other - Last Name:NGUYEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP-C
Mailing Address - Street 1:630 WOODS HOLLOW LN
Mailing Address - Street 2:
Mailing Address - City:POWELL
Mailing Address - State:OH
Mailing Address - Zip Code:43065-9456
Mailing Address - Country:US
Mailing Address - Phone:614-580-5869
Mailing Address - Fax:
Practice Address - Street 1:165 N MURRAY HILL RD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-1585
Practice Address - Country:US
Practice Address - Phone:614-221-3300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-20
Last Update Date:2017-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.021733207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine