Healthcare Provider Details

I. General information

NPI: 1962015594
Provider Name (Legal Business Name): WHITNEY A WEST APRN, NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2020
Last Update Date: 08/24/2020
Certification Date: 08/24/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 FOXCROFT CT APT 121
LINCOLN NE
68510-4177
US

IV. Provider business mailing address

900 FOXCROFT CT APT 121
LINCOLN NE
68510-4177
US

V. Phone/Fax

Practice location:
  • Phone: 308-383-2920
  • Fax:
Mailing address:
  • Phone: 308-383-2920
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number113281
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: