Provider Demographics
NPI:1336549955
Name:WEST, MAUREEN (CNTP)
Entity type:Individual
Prefix:
First Name:MAUREEN
Middle Name:
Last Name:WEST
Suffix:
Gender:F
Credentials:CNTP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:180 COOK ST
Mailing Address - Street 2:#108
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5331
Mailing Address - Country:US
Mailing Address - Phone:407-921-9192
Mailing Address - Fax:
Practice Address - Street 1:180 COOK ST
Practice Address - Street 2:#108
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5331
Practice Address - Country:US
Practice Address - Phone:407-921-9192
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-02
Last Update Date:2014-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist