Provider Demographics
NPI:1558986489
Name:WEST, DENISE (BSN, RN, CDCES)
Entity Type:Individual
Prefix:
First Name:DENISE
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:BSN, RN, CDCES
Other - Prefix:
Other - First Name:DENISE
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BSN, RN, CDCES
Mailing Address - Street 1:3333 S PINNACLE HILLS PKWY STE 300B
Mailing Address - Street 2:
Mailing Address - City:ROGERS
Mailing Address - State:AR
Mailing Address - Zip Code:72758-9000
Mailing Address - Country:US
Mailing Address - Phone:479-338-6086
Mailing Address - Fax:479-338-4630
Practice Address - Street 1:3333 S PINNACLE HILLS PKWY STE 300B
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72758-9000
Practice Address - Country:US
Practice Address - Phone:479-338-6086
Practice Address - Fax:479-338-4630
Is Sole Proprietor?:No
Enumeration Date:2020-06-16
Last Update Date:2020-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR103505163WD0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WD0400XNursing Service ProvidersRegistered NurseDiabetes Educator