Healthcare Provider Details

I. General information

NPI: 1942815097
Provider Name (Legal Business Name): LAUREN ROCHELLE WEST MSN, NP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 09/18/2023
Certification Date: 09/18/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

41800 W 11 MILE RD STE 109
NOVI MI
48375-1818
US

IV. Provider business mailing address

41800 W 11 MILE RD STE 109
NOVI MI
48375-1818
US

V. Phone/Fax

Practice location:
  • Phone: 248-660-1220
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC0200X
TaxonomyCritical Care Medicine Registered Nurse
License Number391051
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number0027504
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: