Most Relevant Information
Provider Data
| NPI Number: | 1003292350 |
| Provider Name: | ANDERSON WEST REGISTERED NURSE |
| Entity Type: | Individual |
| Taxonomy Code: | 163W00000X |
| Specialty: | Registered Nurse |
| License Number: | 2014027914 |
Most Important Dates
| Enumeration Date: | 08/09/2015 |
| Last Updated: | 08/09/2015 |
Provider Practice Location
6420 CLAYTON RD
RICHMOND HEIGHTS
MO
631171811
Practice Location Phone/Fax
| Phone: | 3147688644 |
| Fax: |
Provider Mailing Location
6420 CLAYTON RD
RICHMOND HEIGHTS
MO
631171811
Provider Mailing Phone/Fax
| Phone: | 3147688644 |
| Fax: |