Provider Demographics
NPI:1376783035
Name:WEST, VIRGINIA KAY (RN)
Entity Type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:KAY
Last Name:WEST
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 1:1010 CHRISTINE AVE
Mailing Address - Street 2:SUITE 250
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-5782
Mailing Address - Country:US
Mailing Address - Phone:256-235-3050
Mailing Address - Fax:256-238-9875
Practice Address - Street 1:1010 CHRISTINE AVE
Practice Address - Street 2:SUITE 250
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-5782
Practice Address - Country:US
Practice Address - Phone:256-235-3050
Practice Address - Fax:256-238-9875
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-040603163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse