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Individual
PENNILEE STEPHENS WEST
Active
Individual
PENNILEE STEPHENS WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
120039
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
120039
NEBRASKA LICENSE
NE
01
—
69098
NEBRASKA LICENSE
NE
Enumeration date
06/30/2009
Last updated
06/30/2009
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