Individual
BRENDA ELAINE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
609 W 3RD ST, IMBODEN, AR 72434-9099
(870) 869-1500
(870) 869-1505
Mailing address
273 GRANDVIEW RD, MAYNARD, AR 72444-9711
(870) 869-1500
(870) 869-1505
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R33935
AR
Other
Enumeration date
08/05/2010
Last updated
08/05/2010
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