Healthcare Provider Details

I. General information

NPI: 1639537020
Provider Name (Legal Business Name): BRITTANY WEST PA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/01/2016
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7695 S RESEARCH DR
TEMPE AZ
85284-1812
US

IV. Provider business mailing address

7695 S RESEARCH DR
TEMPE AZ
85284-1812
US

V. Phone/Fax

Practice location:
  • Phone: 480-256-1664
  • Fax:
Mailing address:
  • Phone: 480-256-1664
  • Fax: 480-726-1854

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License Number6330
License Number StateAZ
# 2
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number6330
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: