MRS. PHAEDRA WEST BSN NPI 1881490787

NPI Information

  • NPI: 1881490787
  • Provider Name: MRS. PHAEDRA WEST, BSN
  • Classification: Registered Nurse - 163WC0200X
  • Specialization: Critical Care Medicine
  • Entity Type: Individual
  • Address: 4646 JOHN R ST
    DETROIT, MI
    ZIP 48201
  • Phone: (313) 576-1490

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NPI Details

MRS. Phaedra West, BSN is a critical care medicine registered nurse in Detroit, MI. MRS. Phaedra West, BSN NPI is 1881490787. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4646 JOHN R ST
DETROIT, MI
ZIP 48201-932
Phone: (313) 576-1490

The enumeration date for this NPI number is 2/21/2025 and was last updated on 2/21/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163WC0200XRegistered NurseCritical Care Medicine4704235829MICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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