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Individual
MICAYLA MARIE WEST
Active
Individual
MICAYLA MARIE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10004386A
IN
363AM0700X
Medical Physician Assistant
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300091151
—
IN
Enumeration date
11/01/2021
Last updated
07/01/2025
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