Individual
MRS. SHIRLEY MAE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CCM
Contact information
Practice address
5555 GLENDON COURT, DUBLIN, OH 43016
(513) 385-2742
(513) 385-2746
Mailing address
7358 THOMPSON ROAD, CINCINNATI, OH 45247
(513) 353-3366
(513) 353-3366
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN 206103
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1059645
KENTUCKY RN LICENSURE
KY
01
—
28151935A
INDIANA RN LICENSURE
IN
01
—
RN 206103
OHIO RN LICENSURE
OH
Enumeration date
05/01/2007
Last updated
07/08/2007
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