Individual
MR. BLAINE MICHAEL WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
4600 38TH STREET, COLUMBUS COMMUNITY HOSPITAL, COLUMBUS, NE 68601
(402) 564-7118
(402) 562-3376
Mailing address
4511 28TH STREET, COLUMBUS, NE 68601
(402) 564-7743
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
023069
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10200
MIDLANDS
NE
01
—
277095
COVENTRY
NE
01
—
P00124183
RAILROAD
NE
Enumeration date
08/15/2006
Last updated
07/09/2007
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