Provider Demographics
NPI:1366473746
Name:WEST, PATRICIA G (APRN CNM FNP-C WHNPC)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:G
Last Name:WEST
Suffix:
Gender:F
Credentials:APRN CNM FNP-C WHNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 S CLAIRBORNE RD STE 2
Mailing Address - Street 2:
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66062-1774
Mailing Address - Country:US
Mailing Address - Phone:913-730-3661
Mailing Address - Fax:913-768-1944
Practice Address - Street 1:1604 INDUSTRIAL PARK DR
Practice Address - Street 2:
Practice Address - City:PAOLA
Practice Address - State:KS
Practice Address - Zip Code:66071-9528
Practice Address - Country:US
Practice Address - Phone:913-294-9223
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2021-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS64032367A00000X
KS5344821363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO1366473746Medicaid
KS100344680CMedicaid
MO1366473746Medicaid