Provider Demographics
NPI:1184096505
Name:WESTLUND, AMANDA (APRN-CNP)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:WESTLUND
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:HJORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:10806 CAPE SHORE AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166-6003
Mailing Address - Country:US
Mailing Address - Phone:402-214-1739
Mailing Address - Fax:
Practice Address - Street 1:620 S TONOPAH DR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89106-4029
Practice Address - Country:US
Practice Address - Phone:702-413-1391
Practice Address - Fax:702-413-1392
Is Sole Proprietor?:No
Enumeration Date:2015-10-25
Last Update Date:2024-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95050437163W00000X
NVRN90612163WG0000X
NV875836363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163W00000XNursing Service ProvidersRegistered Nurse
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice