Individual
CECILIA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
408 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9706
(609) 652-6947
Mailing address
408 E JIMMIE LEEDS RD, GALLOWAY, NJ 08205-9706
(609) 652-6947
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
NN89947
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15197
AMERIGROUP
NJ
05
—
8386404
—
NJ
Enumeration date
11/05/2005
Last updated
12/04/2012
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