Individual
STACY A WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
230 REDHAWK WAY STE 200, BLYTHEWOOD, SC 29016-9286
(803) 419-4949
(803) 419-6445
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 419-4949
(803) 419-6445
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
211228
SC
Other
Enumeration date
06/07/2023
Last updated
10/07/2025
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