1750356424 NPI number — SHERRI LYN WESTENSKOW CRNA

Table of content: WILLIAM JOHN FOX NURSE PRACTIONER (NPI 1760721807)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750356424 NPI number — SHERRI LYN WESTENSKOW CRNA

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
WESTENSKOW
Provider First Name:
SHERRI
Provider Middle Name:
LYN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNA
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
PESCE
Provider Other First Name:
SHERRI
Provider Other Middle Name:
LYN
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
CRNA
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1750356424
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/07/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1299 OLENTANGY RIVER RD
Provider Second Line Business Mailing Address:
STE 103
Provider Business Mailing Address City Name:
COLUMBUS
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
43212
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
614-566-4278
Provider Business Mailing Address Fax Number:
614-566-5424

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
111 S GRANT AVE
Provider Second Line Business Practice Location Address:
3RD FL
Provider Business Practice Location Address City Name:
COLUMBUS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
43215
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
614-566-8808
Provider Business Practice Location Address Fax Number:
614-566-9503
Provider Enumeration Date:
02/17/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 367500000X , with the licence number:  R74143 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)