Provider Demographics
NPI:1639431372
Name:JEAN PIERRE PROPHETE, WESTLINE (RN)
Entity Type:Individual
Prefix:
First Name:WESTLINE
Middle Name:
Last Name:JEAN PIERRE PROPHETE
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 1:140 OLD ORANGEBURG RD
Mailing Address - Street 2:BUILDING 57 FIRST FLOOR
Mailing Address - City:ORANGEBURG
Mailing Address - State:NY
Mailing Address - Zip Code:10962-1157
Mailing Address - Country:US
Mailing Address - Phone:845-398-7050
Mailing Address - Fax:845-398-7056
Practice Address - Street 1:140 OLD ORANGEBURG RD
Practice Address - Street 2:BUILDING 57 FIRST FLOOR
Practice Address - City:ORANGEBURG
Practice Address - State:NY
Practice Address - Zip Code:10962-1157
Practice Address - Country:US
Practice Address - Phone:845-398-7050
Practice Address - Fax:845-398-7056
Is Sole Proprietor?:No
Enumeration Date:2012-06-08
Last Update Date:2012-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY539624DUP163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse