National Provider Identifier

Michael Fitzgerald West Jr.

Michael Fitzgerald West Jr. is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Newark, NY and a listed phone number of (315) 210-0913.

NPI 1477013365Newark, NYLicensed Practical Nurse

Profile Overview

NPI
1477013365
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
March 25, 2019
Last Updated
March 25, 2019

Practice Location

  • 1052 Woodhill
  • Newark, NY 14513-2046

Phone: (315) 210-0913

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1477013365
Entity Type
Individual
Last Name
West
First Name
Michael
Middle Name
Fitzgerald
Name Suffix
Jr.
Mailing Street Address
1052 Woodhill
Mailing City
Newark
Mailing State
NY
Mailing ZIP Code
14513-2046
Mailing Country
US
Practice Street Address
1052 Woodhill
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513-2046
Practice Country
US
Practice Phone
(315) 210-0913
Enumeration Date
March 25, 2019
Last Updated
March 25, 2019
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)