Healthcare Provider Details

I. General information

NPI: 1992616411
Provider Name (Legal Business Name): KRISTEN M WEST NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20254 US HIGHWAY 18
APPLE VALLEY CA
92307-2937
US

IV. Provider business mailing address

13424 IVANPAH RD
APPLE VALLEY CA
92308-6063
US

V. Phone/Fax

Practice location:
  • Phone: 760-483-9444
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License NumberNP95039283
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: