Individual
CARRIE DIANE WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6020 BROADWAY ST, QUINCY, IL 62305-7919
(217) 224-3366
(217) 221-6191
Mailing address
6020 BROADWAY ST, QUINCY, IL 62305-7919
(217) 224-3366
(217) 221-6191
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
2011026238
MO
Other
Enumeration date
12/15/2025
Last updated
12/15/2025
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