Provider Demographics
NPI:1053130534
Name:WESTERFIELD, NAKYRA
Entity type:Individual
Prefix:
First Name:NAKYRA
Middle Name:
Last Name:WESTERFIELD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1544 CURTIS ST
Mailing Address - Street 2:
Mailing Address - City:HARVEY
Mailing Address - State:LA
Mailing Address - Zip Code:70058-2415
Mailing Address - Country:US
Mailing Address - Phone:504-234-8282
Mailing Address - Fax:
Practice Address - Street 1:1544 CURTIS ST
Practice Address - Street 2:
Practice Address - City:HARVEY
Practice Address - State:LA
Practice Address - Zip Code:70058-2415
Practice Address - Country:US
Practice Address - Phone:504-234-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-10
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)