Provider Demographics
NPI:1679624605
Name:WESTENBERGER, JOSEPHINE (APN-C)
Entity type:Individual
Prefix:
First Name:JOSEPHINE
Middle Name:
Last Name:WESTENBERGER
Suffix:
Gender:F
Credentials:APN-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:677 PINE VALLEY CT
Mailing Address - Street 2:
Mailing Address - City:EGG HARBOR CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:08215-5128
Mailing Address - Country:US
Mailing Address - Phone:609-965-3331
Mailing Address - Fax:
Practice Address - Street 1:677 PINE VALLEY CT
Practice Address - Street 2:
Practice Address - City:EGG HARBOR CITY
Practice Address - State:NJ
Practice Address - Zip Code:08215-5128
Practice Address - Country:US
Practice Address - Phone:609-965-3331
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NN09590300363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily