Healthcare Provider Details

I. General information

NPI: 1366473746
Provider Name (Legal Business Name): PATRICIA G WEST APRN CNM FNP-C WHNPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/05/2006
Last Update Date: 03/23/2021
Certification Date: 03/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1604 INDUSTRIAL PARK DR
PAOLA KS
66071-9528
US

IV. Provider business mailing address

405 S CLAIRBORNE RD STE 2
OLATHE KS
66062-1774
US

V. Phone/Fax

Practice location:
  • Phone: 913-294-9223
  • Fax:
Mailing address:
  • Phone: 913-730-3661
  • Fax: 913-768-1944

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number5344821
License Number StateKS
# 2
Primary TaxonomyN
Taxonomy Code367A00000X
TaxonomyAdvanced Practice Midwife
License Number64032
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: