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NPI Code Detail

MEDICARE: BREANNA WEST RN

MEDICARE: BREANNA WEST RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered NurseRN-192890MT

General Provider Information

NPI Number : 1083548341
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNA WEST RN
Provider Business Mailing Address
First Line : 8444 N 90TH ST STE 100
Second Line :
City : SCOTTSDALE
State : AZ
Zip : 85258-4437
Country : US
Telephone Number : 602-248-8886
Fax Number : 480-687-7361
Provider Business Practice Location Address
First Line : 2415 S CATLIN ST
Second Line :
City : MISSOULA
State : MT
Zip : 59801-7822
Country : US
Telephone Number : 406-549-0114
Fax Number : 406-549-0267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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