Provider Demographics
NPI:1649510355
Name:WESTERMANN, ELIZABETH LAVON (DNP)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LAVON
Last Name:WESTERMANN
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:808 5TH ST STE 4
Mailing Address - Street 2:
Mailing Address - City:CORALVILLE
Mailing Address - State:IA
Mailing Address - Zip Code:52241-2322
Mailing Address - Country:US
Mailing Address - Phone:319-337-8329
Mailing Address - Fax:319-337-8692
Practice Address - Street 1:808 5TH ST STE 4
Practice Address - Street 2:
Practice Address - City:CORALVILLE
Practice Address - State:IA
Practice Address - Zip Code:52241-2322
Practice Address - Country:US
Practice Address - Phone:319-337-8329
Practice Address - Fax:319-337-8692
Is Sole Proprietor?:No
Enumeration Date:2013-02-18
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IAD127555367500000X, 367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered