Provider Demographics
NPI:1245786060
Name:WEST, PATRICIA LYNN (MBA, FACMPE, CCP)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LYNN
Last Name:WEST
Suffix:
Gender:F
Credentials:MBA, FACMPE, CCP
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:LYNN
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MBA, FACMPE, CCP
Mailing Address - Street 1:21 HIGH ST
Mailing Address - Street 2:
Mailing Address - City:PEPPERELL
Mailing Address - State:MA
Mailing Address - Zip Code:01463-1617
Mailing Address - Country:US
Mailing Address - Phone:978-650-1045
Mailing Address - Fax:
Practice Address - Street 1:21 HIGH ST
Practice Address - Street 2:
Practice Address - City:PEPPERELL
Practice Address - State:MA
Practice Address - Zip Code:01463-1617
Practice Address - Country:US
Practice Address - Phone:978-650-1045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2016-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246XS1301XTechnologists, Technicians & Other Technical Service ProvidersSpecialist/Technologist CardiovascularSonography