Provider Demographics
NPI:1144557612
Name:WEST, PAULA ANN (MS, RDN, LN)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:ANN
Last Name:WEST
Suffix:
Gender:F
Credentials:MS, RDN, LN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:715 W OLIVE ST
Mailing Address - Street 2:
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59715-4438
Mailing Address - Country:US
Mailing Address - Phone:720-672-7173
Mailing Address - Fax:
Practice Address - Street 1:715 W OLIVE ST
Practice Address - Street 2:
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59715-4438
Practice Address - Country:US
Practice Address - Phone:720-672-7173
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-04
Last Update Date:2025-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTMED-NUTR-LIC-141698133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered