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NPI Code Detail

MEDICARE: REBECCA R WEST ARNP

MEDICARE:   REBECCA R WEST  ARNP
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
1363LF0000XFamily Nurse Practitioner209000539IL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
219357OTHERMIDLANDS CHOICE
327171OTHERIOWA HEALTH SOLUTIONS
4018410OTHERHEALTH ALLIANCE
5IL0142OTHERJOHN DEERE HEALTH

General Provider Information

NPI Number : 1780638072
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA R WEST ARNP
Provider Business Mailing Address
First Line : 915 13TH AVE N
Second Line :
City : CLINTON
State : IA
Zip : 52732-5067
Country : US
Telephone Number : 563-243-2511
Fax Number : 563-243-0817
Provider Business Practice Location Address
First Line : 635 E LINCOLNWAY
Second Line :
City : MORRISON
State : IL
Zip : 61270-2963
Country : US
Telephone Number : 815-772-7491
Fax Number : 815-772-7891
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/20/2006
Last Update Date : 07/21/2022

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