Individual
MRS. PHAEDRA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSN
Contact information
Practice address
4646 JOHN R ST, DETROIT, MI 48201-1932
(313) 576-1490
Mailing address
17749 LENNANE, REDFORD, MI 48240-2163
(313) 980-1719
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
4704235829
MI
Other
Enumeration date
02/21/2025
Last updated
02/21/2025
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