Most Relevant Information
Provider Data
| NPI Number: | 1003489139 |
| Provider Name: | KRISTY G. WESTROM RN, PHN |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | R48601 |
Most Important Dates
| Enumeration Date: | 07/16/2021 |
| Last Updated: | 07/16/2021 |
Provider Practice Location
513 E BISMARCK EXPY STE 8
BISMARCK
ND
585046577
Practice Location Phone/Fax
| Phone: | 7013550603 |
| Fax: |
Provider Mailing Location
5605 47TH AVE S
FARGO
ND
581046074
Provider Mailing Phone/Fax
| Phone: | 6124622382 |
| Fax: |