Provider Demographics
NPI:1245766559
Name:WEST, SHIRLEY (RDN)
Entity Type:Individual
Prefix:
First Name:SHIRLEY
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:SHIRLEY
Other - Middle Name:ANN
Other - Last Name:CAMBEST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RDN
Mailing Address - Street 1:3 ALLEGHENY CTR STE 2
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-5329
Mailing Address - Country:US
Mailing Address - Phone:412-388-8042
Mailing Address - Fax:
Practice Address - Street 1:3 ALLEGHENY CTR STE 2
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-5329
Practice Address - Country:US
Practice Address - Phone:412-388-8042
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-05
Last Update Date:2017-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADN001569133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered