Individual
MS. MALIA R WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Contact information
Practice address
20455 LORAIN RD, T-01, FAIRVIEW PARK, OH 44126-3494
(440) 799-4224
(440) 799-4228
Mailing address
1170 E BROAD ST, STE 2, ELYRIA, OH 44035-6351
(440) 323-3574
(440) 323-3552
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NP-07666
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2636213
—
OH
Enumeration date
02/07/2006
Last updated
06/22/2015
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