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Individual
SUSAN WEST
Active
Individual
SUSAN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
R214416
MD
363LF0000X
Family Nurse Practitioner
Primary
SP014239
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13541267
CAQH
—
Enumeration date
01/23/2015
Last updated
05/23/2022
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