Individual
STACI MICHELLE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACNP DNP
Contact information
Practice address
1621 N WASHINGTON AVE, ROSWELL, NM 88201-3272
(806) 786-7078
(575) 625-8452
Mailing address
1621 N WASHINGTON AVE, ROSWELL, NM 88201-3272
(806) 786-7078
(575) 625-8452
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
CNP02096
NM
Other
Enumeration date
11/29/2012
Last updated
05/09/2019
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