Healthcare Provider Details

I. General information

NPI: 1033908843
Provider Name (Legal Business Name): SAVANNAH KATHLEEN WEST NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 SHADOWLAKE DR BLDG J
OKLAHOMA CITY OK
73159-7440
US

IV. Provider business mailing address

249 N DAVIS AVE
CLAREMORE OK
74017-3423
US

V. Phone/Fax

Practice location:
  • Phone: 405-554-3344
  • Fax: 405-694-4547
Mailing address:
  • Phone: 918-951-4114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number225848
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: