Individual
BARBARA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
12 PETRA LN, ALBANY, NY 12205-4973
(518) 452-0445
Mailing address
194 SPRING ST RD, WATERVLIET, NY 12189-0000
(518) 273-3339
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
165435
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
165435
LPN LICENSE
NY
Enumeration date
09/29/2008
Last updated
09/29/2008
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