Provider Demographics
NPI:1790397446
Name:WEST, CHAUNTE (RN, BSN)
Entity Type:Individual
Prefix:
First Name:CHAUNTE
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 HEMENWAY RD
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-2242
Mailing Address - Country:US
Mailing Address - Phone:716-536-6342
Mailing Address - Fax:
Practice Address - Street 1:98 SPAULDING ST
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14220-1238
Practice Address - Country:US
Practice Address - Phone:716-275-9968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY685144163WM0705X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WM0705XNursing Service ProvidersRegistered NurseMedical-Surgical