Provider Demographics
NPI:1093734196
Name:WEST, CHERYL LYNN (ARNP)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:LYNN
Last Name:WEST
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4795
Mailing Address - Street 2:
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66604-0795
Mailing Address - Country:US
Mailing Address - Phone:785-478-9625
Mailing Address - Fax:785-271-4392
Practice Address - Street 1:1128 SW FAIRLAWN
Practice Address - Street 2:
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66604
Practice Address - Country:US
Practice Address - Phone:785-478-9625
Practice Address - Fax:785-271-4392
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2008-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS44473363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS160855OtherBLUE CROSS BLUE SHIELD
500026782OtherRAILROAD MEDICARE
KS100282840CMedicaid
KS160855OtherBLUE CROSS BLUE SHIELD
500026782OtherRAILROAD MEDICARE