MEDICARE: DANYELLE 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	343900000X	Non-emergency Medical Transport (VAN)

General Provider Information

NPI Number	:	1124384318
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANYELLE WEST

Provider Business Mailing Address
First Line	:	3447 LAWRENCEBURG RD
Second Line	:	LOT 1
City	:	NORTH BEND
State	:	OH
Zip	:	45052-9669
Country	:	US
Telephone Number	:	513-490-4675
Fax Number	:

Provider Business Practice Location Address
First Line	:	3447 LAWRENCEBURG RD
Second Line	:	LOT 1
City	:	NORTH BEND
State	:	OH
Zip	:	45052-9669
Country	:	US
Telephone Number	:	513-490-4675
Fax Number	:

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

Provider Enumeration Date	:	04/02/2012
Last Update Date	:	04/02/2012

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Directions to “ DANYELLE WEST ” Practice Location

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