Provider Demographics
NPI:1427134667
Name:WEST, VALERIE ANN (MD FACE)
Entity type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:ANN
Last Name:WEST
Suffix:
Gender:F
Credentials:MD FACE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4745 OGLETOWN STANTON ROAD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19713
Mailing Address - Country:US
Mailing Address - Phone:302-731-0606
Mailing Address - Fax:302-731-1656
Practice Address - Street 1:4745 OGLETOWN STANTON ROAD
Practice Address - Street 2:SUITE 208
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19713
Practice Address - Country:US
Practice Address - Phone:302-731-0606
Practice Address - Fax:302-731-1656
Is Sole Proprietor?:No
Enumeration Date:2006-10-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC10001669207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000021601Medicaid
DE129919Medicare ID - Type Unspecified
E94585Medicare UPIN