Provider Demographics
NPI:1841898269
Name:WEST, MINDY
Entity type:Individual
Prefix:
First Name:MINDY
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MELINDA
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RN
Mailing Address - Street 1:6450 W HIGHWAY 30
Mailing Address - Street 2:
Mailing Address - City:AMES
Mailing Address - State:NE
Mailing Address - Zip Code:68621-2195
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6450 W HIGHWAY 30
Practice Address - Street 2:
Practice Address - City:AMES
Practice Address - State:NE
Practice Address - Zip Code:68621-2195
Practice Address - Country:US
Practice Address - Phone:402-720-1721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-16
Last Update Date:2020-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE82871163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse