Provider Demographics
NPI:1457574253
Name:WESTENFELDER, LAURA K (RN BSN)
Entity Type:Individual
Prefix:MS
First Name:LAURA
Middle Name:K
Last Name:WESTENFELDER
Suffix:
Gender:F
Credentials:RN BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4100 FOX FARM RD
Mailing Address - Street 2:
Mailing Address - City:MISSOULA
Mailing Address - State:MT
Mailing Address - Zip Code:59802-3007
Mailing Address - Country:US
Mailing Address - Phone:208-244-1552
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF MONTANA CURRY HEALTH CTR
Practice Address - Street 2:634 EDDY AVE.
Practice Address - City:MISSOULA
Practice Address - State:MT
Practice Address - Zip Code:59812-0001
Practice Address - Country:US
Practice Address - Phone:406-243-4330
Practice Address - Fax:406-243-6955
Is Sole Proprietor?:No
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT32458163WC1400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1400XNursing Service ProvidersRegistered NurseCollege Health