Individual
ELIZABETH WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSN, NP-C
Contact information
Practice address
1306 MAPLE CREEK AVE, LOGANVILLE, GA 30052-7106
(478) 244-1995
Mailing address
1306 MAPLE CREEK AVE, LOGANVILLE, GA 30052-7106
(478) 244-1995
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN090771
GA
Other
Enumeration date
01/16/2007
Last updated
12/20/2016
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