Provider Demographics
NPI:1346042488
Name:WEST, NICOLE (SOCIAL WORK)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:
Last Name:WEST
Suffix:
Gender:
Credentials:SOCIAL WORK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1416 MEADOWBROOKE LN
Mailing Address - Street 2:
Mailing Address - City:JUNCTION CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66441-2562
Mailing Address - Country:US
Mailing Address - Phone:786-786-6385
Mailing Address - Fax:
Practice Address - Street 1:1416 MEADOWBROOKE LN
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-2562
Practice Address - Country:US
Practice Address - Phone:786-786-6385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-27
Last Update Date:2025-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program