Individual
MRS. TORI CHRISTINE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
809 82ND PKWY, AMBULATORY CARE ANESTHETIST: GRAND STRAND REGIONAL MEDI, MYRTLE BEACH, SC 29572
(843) 692-1063
Mailing address
809 82ND PKWY, AMBULATORY CARE ANESTHETIST: GRAND STRAND REGIONAL MEDI, MYRTLE BEACH, SC 29572
(843) 692-1063
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
4079CRNA
SC
367500000X
Certified Registered Nurse Anesthetist
R 173655-1
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
01
—
P00771154
RAILROAD MEDICARE
MN
Enumeration date
02/25/2009
Last updated
08/27/2012
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