Provider Demographics
NPI:1366848533
Name:WEST, SHEILA ANN
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:ANN
Last Name:WEST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 W LOCKE ST STE C
Mailing Address - Street 2:
Mailing Address - City:ASHDOWN
Mailing Address - State:AR
Mailing Address - Zip Code:71822-3326
Mailing Address - Country:US
Mailing Address - Phone:870-898-4100
Mailing Address - Fax:870-898-5791
Practice Address - Street 1:450 W LOCKE ST STE C
Practice Address - Street 2:
Practice Address - City:ASHDOWN
Practice Address - State:AR
Practice Address - Zip Code:71822-3326
Practice Address - Country:US
Practice Address - Phone:870-898-4100
Practice Address - Fax:870-898-5791
Is Sole Proprietor?:No
Enumeration Date:2014-11-14
Last Update Date:2015-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP126651363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily