MEDICARE: MINDY 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	163W00000X	Registered Nurse	82871	NE

General Provider Information

NPI Number	:	1841898269
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MINDY WEST

Provider Business Mailing Address
First Line	:	6450 W HIGHWAY 30
Second Line	:
City	:	AMES
State	:	NE
Zip	:	68621-2195
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6450 W HIGHWAY 30
Second Line	:
City	:	AMES
State	:	NE
Zip	:	68621-2195
Country	:	US
Telephone Number	:	402-720-1721
Fax Number	:

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

Provider Enumeration Date	:	10/16/2020
Last Update Date	:	10/16/2020

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Directions to “ MINDY WEST ” Practice Location

Language	Start Address	Practice Location

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