Provider Demographics
NPI:1649520628
Name:WEST, MARION ADAMS (APRN)
Entity type:Individual
Prefix:
First Name:MARION
Middle Name:ADAMS
Last Name:WEST
Suffix:
Gender:M
Credentials:APRN
Other - Prefix:
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Mailing Address - Street 1:20375 W 51ST ST
Mailing Address - Street 2:301
Mailing Address - City:OLATHE
Mailing Address - State:KS
Mailing Address - Zip Code:66061
Mailing Address - Country:US
Mailing Address - Phone:913-390-8050
Mailing Address - Fax:913-390-8049
Practice Address - Street 1:20375 W 51ST ST
Practice Address - Street 2:301
Practice Address - City:OLATHE
Practice Address - State:KS
Practice Address - Zip Code:66061
Practice Address - Country:US
Practice Address - Phone:913-390-8050
Practice Address - Fax:913-390-8049
Is Sole Proprietor?:No
Enumeration Date:2012-09-17
Last Update Date:2012-09-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KS53-75780363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner