Provider Demographics
NPI:1871819664
Name:WEST, EMILY A (FNP-C)
Entity Type:Individual
Prefix:
First Name:EMILY
Middle Name:A
Last Name:WEST
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:Z
Other - Last Name:ABENDROTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:FNP-C
Mailing Address - Street 1:4401 VESTAL PKWY E
Mailing Address - Street 2:
Mailing Address - City:VESTAL
Mailing Address - State:NY
Mailing Address - Zip Code:13850-3514
Mailing Address - Country:US
Mailing Address - Phone:607-422-3879
Mailing Address - Fax:607-223-6200
Practice Address - Street 1:4401 VESTAL PKWY E
Practice Address - Street 2:
Practice Address - City:VESTAL
Practice Address - State:NY
Practice Address - Zip Code:13850-3514
Practice Address - Country:US
Practice Address - Phone:607-422-3879
Practice Address - Fax:607-223-6200
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY349234363L00000X
SC4162363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily