Provider Demographics
NPI:1376858423
Name:WEST, DOROTHY J (ACNP-BC)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:J
Last Name:WEST
Suffix:
Gender:F
Credentials:ACNP-BC
Other - Prefix:
Other - First Name:DOTTIE
Other - Middle Name:
Other - Last Name:WEST
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSN, RN, ACNP-BC
Mailing Address - Street 1:415 EMBASSY OAKS
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78216-2040
Mailing Address - Country:US
Mailing Address - Phone:210-490-9087
Mailing Address - Fax:210-490-9111
Practice Address - Street 1:415 EMBASSY OAKS
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78216-2040
Practice Address - Country:US
Practice Address - Phone:210-490-9087
Practice Address - Fax:210-490-9111
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX697804363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care