MEDICARE: STACIE WEST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	372600000X	Adult Companion

General Provider Information

NPI Number	:	1770441818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STACIE WEST

Provider Business Mailing Address
First Line	:	702 E SCHIMMER DR
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-9502
Country	:	US
Telephone Number	:	402-499-2970
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 E SCHIMMER DR
Second Line	:
City	:	GRAND ISLAND
State	:	NE
Zip	:	68801-9502
Country	:	US
Telephone Number	:	402-499-2970
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/15/2026
Last Update Date	:	01/15/2026

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Directions to “ STACIE WEST ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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