Provider Demographics
NPI:1962015594
Name:WEST, WHITNEY A (APRN, NP)
Entity Type:Individual
Prefix:
First Name:WHITNEY
Middle Name:A
Last Name:WEST
Suffix:
Gender:F
Credentials:APRN, NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 FOXCROFT CT APT 121
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68510-4177
Mailing Address - Country:US
Mailing Address - Phone:308-383-2920
Mailing Address - Fax:
Practice Address - Street 1:900 FOXCROFT CT APT 121
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68510-4177
Practice Address - Country:US
Practice Address - Phone:308-383-2920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-24
Last Update Date:2020-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE113281363LP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP2300XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPrimary Care