Individual
MR. DEREK M WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ACNP-BC
Contact information
Practice address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Mailing address
520 MARY ST STE 520, EVANSVILLE, IN 47710-1682
(812) 424-8231
(812) 435-8794
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
71003054A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000637973
ANTHEM
IN
05
—
200975230
—
IN
05
—
7100101320
—
KY
01
—
71003054A
IN LICENSE
IN
Enumeration date
09/30/2009
Last updated
03/05/2024
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