Individual
MRS. ANDREA BEATRICE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
7979 N SHADELAND AVE STE 310, INDIANAPOLIS, IN 46250-2042
(317) 887-7968
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
(317) 621-7547
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10003959A
IN
Other
Enumeration date
07/08/2022
Last updated
05/01/2023
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