Healthcare Provider Details

I. General information

NPI: 1417814971
Provider Name (Legal Business Name): DEIDRA A WESTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4150 W PEORIA AVE
PHOENIX AZ
85029-3900
US

IV. Provider business mailing address

10225 N 93RD DR
PEORIA AZ
85345-4363
US

V. Phone/Fax

Practice location:
  • Phone: 623-278-4668
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code176B00000X
TaxonomyMidwife
License NumberLM297
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: