Provider Demographics
NPI:1750549960
Name:PHILLIPS, KATHERINE WEST (RN, NP)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:WEST
Last Name:PHILLIPS
Suffix:
Gender:F
Credentials:RN, NP
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:LABERT
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN,NP
Mailing Address - Street 1:960 PENN AVE
Mailing Address - Street 2:SUITE 800
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15222
Mailing Address - Country:US
Mailing Address - Phone:412-288-2130
Mailing Address - Fax:
Practice Address - Street 1:960 PENN AVE
Practice Address - Street 2:SUITE 800
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15222-3818
Practice Address - Country:US
Practice Address - Phone:412-288-2130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-26
Last Update Date:2011-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001568B363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily