Provider Demographics
NPI:1578458048
Name:WEST, ALISHIA BROOKE (RN-CLC)
Entity type:Individual
Prefix:MS
First Name:ALISHIA
Middle Name:BROOKE
Last Name:WEST
Suffix:
Gender:F
Credentials:RN-CLC
Other - Prefix:MRS
Other - First Name:ALISHIA
Other - Middle Name:BROOKE
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:DRAWER 367
Mailing Address - Street 2:
Mailing Address - City:LAPWAI
Mailing Address - State:ID
Mailing Address - Zip Code:83540
Mailing Address - Country:US
Mailing Address - Phone:208-843-2271
Mailing Address - Fax:
Practice Address - Street 1:111 BEVER RD
Practice Address - Street 2:
Practice Address - City:LAPWAI
Practice Address - State:ID
Practice Address - Zip Code:83540-7734
Practice Address - Country:US
Practice Address - Phone:208-843-2271
Practice Address - Fax:208-621-4995
Is Sole Proprietor?:No
Enumeration Date:2025-06-12
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID65804163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health