Healthcare Provider Details

I. General information

NPI: 1215304563
Provider Name (Legal Business Name): CANEA ANN WEST APRN-CNM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/21/2015
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1101 N PROGRESS AVE
SILOAM SPRINGS AR
72761-4343
US

IV. Provider business mailing address

373 W RANCH TRL
GLENCOE AR
72539-7006
US

V. Phone/Fax

Practice location:
  • Phone: 479-549-4228
  • Fax:
Mailing address:
  • Phone: 480-339-9905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number236297
License Number StateAR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: