Individual
NANCY DANNIBALE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
2005 FAIRVIEW AVE, SUITE A, EASTON, PA 18042-3915
(610) 923-5200
(610) 923-5272
Mailing address
PO BOX 783311, PHILADELPHIA, PA 19178-3311
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA003150L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2005040
HIGHMARK
PA
01
—
50075002
CAPITAL BLUE CROSS
PA
Enumeration date
10/17/2006
Last updated
01/05/2016
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