MEDICARE: ANTOINETTE 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	171M00000X	Case Manager/Care Coordinator

General Provider Information

NPI Number	:	1306762067
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANTOINETTE WEST

Provider Business Mailing Address
First Line	:	1323 KINGSLEY AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-4220
Country	:	US
Telephone Number	:	937-715-7695
Fax Number	:

Provider Business Practice Location Address
First Line	:	1323 KINGSLEY AVE
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45406-4220
Country	:	US
Telephone Number	:	937-715-7695
Fax Number	:

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

Provider Enumeration Date	:	06/26/2026
Last Update Date	:	06/26/2026

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Directions to “ ANTOINETTE WEST ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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