Provider Demographics
NPI:1295832541
Name:WEST-CONFORTI, LINDA E (RN)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:E
Last Name:WEST-CONFORTI
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1221
Mailing Address - Street 2:
Mailing Address - City:BLUE JAY
Mailing Address - State:CA
Mailing Address - Zip Code:92317-1221
Mailing Address - Country:US
Mailing Address - Phone:909-336-1958
Mailing Address - Fax:909-336-4032
Practice Address - Street 1:27689 MATTERHORN
Practice Address - Street 2:
Practice Address - City:LAKE ARROWHEAD
Practice Address - State:CA
Practice Address - Zip Code:92352
Practice Address - Country:US
Practice Address - Phone:909-336-1958
Practice Address - Fax:909-336-3042
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARN389453163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAEPS013420Medicaid