MEDICARE: SHEILA WEST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	23083	SC

General Provider Information

NPI Number	:	1811542954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHEILA WEST

Provider Business Mailing Address
First Line	:	901 W MEETING ST STE 205
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-6209
Country	:	US
Telephone Number	:	803-285-9700
Fax Number	:	803-285-9898

Provider Business Practice Location Address
First Line	:	901 W MEETING ST STE 205
Second Line	:
City	:	LANCASTER
State	:	SC
Zip	:	29720-6209
Country	:	US
Telephone Number	:	803-285-9700
Fax Number	:	803-285-9898

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/06/2019
Last Update Date	:	08/06/2019

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Directions to “ SHEILA WEST ” Practice Location

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