Individual provider · Type 1 NPI

Phaedra West, BSN

Critical Care Medicine Registered Nurse · Detroit, MI

NPI number 1881490787 Active

Practice location

4646 John R St
Detroit, MI 48201-1932

Call (313) 576-1490 Map

Mailing address

17749 Lennane
Redford, MI 48240-2163

Specialties and licenses

Taxonomy	Code	License
Critical Care Medicine Registered Nurse Primary	163WC0200X	4704235829 (MI)

Critical Care Medicine Registered Nurse: Definition to come...

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About NPI 1881490787

Phaedra West, BSN's National Provider Identifier is 1881490787, issued on Feb 21, 2025. The primary taxonomy on file is Critical Care Medicine Registered Nurse (163WC0200X), and the practice location is in Detroit, MI. The record was last updated on Feb 21, 2025.