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Individual

IAN WILLIAM WEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1025 MARSH ST, MANKATO, MN 56001-4752
(507) 625-4031
Mailing address
PO BOX 860912, MINNEAPOLIS, MN 55486-0912
(507) 284-2511

Taxonomy

Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
857999-01
NY
363L00000X
Nurse Practitioner
Primary
13244
MN
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
406320
NY

Other

Enumeration date
08/07/2023
Last updated
12/23/2025
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