Individual
MS. JUDITH ANN WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
721911313102
UT
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
191131-3102
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10703195101
IHC
UT
01
—
163WP0808X
TAXONONMY
UT
01
—
262131
DMBA
UT
Enumeration date
01/11/2006
Last updated
06/29/2016
Update your record
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