Provider Demographics
NPI:1134919608
Name:WEST, IRIS NICOLE (APRN-CNP)
Entity type:Individual
Prefix:
First Name:IRIS
Middle Name:NICOLE
Last Name:WEST
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:IRIS
Other - Middle Name:NICOLE
Other - Last Name:RISENHOOVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3300 NW EXPRESSWAY ST STE 510
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4999
Mailing Address - Country:US
Mailing Address - Phone:806-535-3019
Mailing Address - Fax:
Practice Address - Street 1:3300 NW EXPRESSWAY ST
Practice Address - Street 2:RAPID RESPONSE OFFICE
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112
Practice Address - Country:US
Practice Address - Phone:405-949-3011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-08
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK0121658163WC0200X
OK223201363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine