Individual
DIANA N. WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
GNP
Contact information
Practice address
1936 AMELIA CT, GERIATRICS CENTER & SENIOR SERVICES, DALLAS, TX 75235-7711
(214) 590-8369
(214) 590-8780
Mailing address
PO BOX 660599, DALLAS, TX 75266-0599
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
255702
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041532505
—
TX
01
—
8N4696
BLUE CROSS BLUE SHIELD
TX
01
—
P00279141
RAILROAD MEDICARE
TX
Enumeration date
02/16/2006
Last updated
03/23/2011
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