Individual
MISS KATLYN DANIELLE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1126 N CHURCH ST STE 300, GREENSBORO, NC 27401-1037
(336) 938-0800
Mailing address
4024 SUMMER BROOK DR, APEX, NC 27539-5705
(919) 210-7342
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5019485
NC
363LA2200X
Adult Health Nurse Practitioner
5019485
NC
363LG0600X
Gerontology Nurse Practitioner
5019485
NC
363LP2300X
Primary Care Nurse Practitioner
5019485
NC
Other
Enumeration date
01/23/2024
Last updated
02/27/2024
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