Individual
MRS. SHIRLEY MAE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, CCM
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
Update your record
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