Provider Demographics
NPI:1528388550
Name:WEST, NIKKILAH ELIZABETH (LPN)
Entity Type:Individual
Prefix:
First Name:NIKKILAH
Middle Name:ELIZABETH
Last Name:WEST
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:483 COITSVILLE RD
Mailing Address - Street 2:
Mailing Address - City:CAMPBELL
Mailing Address - State:OH
Mailing Address - Zip Code:44405-1108
Mailing Address - Country:US
Mailing Address - Phone:330-743-5604
Mailing Address - Fax:
Practice Address - Street 1:483 COITSVILLE RD
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:OH
Practice Address - Zip Code:44405-1108
Practice Address - Country:US
Practice Address - Phone:330-743-5604
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-01
Last Update Date:2010-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH125775164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse