West, Gloria R

West, Gloria R is an individual health care provider with primary practice located at 720 Kenyon Rd North Central Iowa Mhc Dba Berryhill Center For Mental, Fort Dodge IA 50501-5759. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. West, Gloria R can be contacted via phone (515) 955-7171.

Contact Information

Primary practice address
720 Kenyon Rd North Central Iowa Mhc Dba Berryhill Center For Mental Fort Dodge IA 50501-5759
Phone: (515) 955-7171
Fax: (515) 573-7898
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 043633 Iowa

Profile Details

NPI number 1508946906
LBN Legal business name West, Gloria R
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Feb 11th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508946906 NPPES
Iowa Other 07466 WELLMARK BCBS
Iowa MEDICAID 0159608 WELLMARK BCBS

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