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Laresa D West, NP
Family Nurse Practitioner in Macon, Georgia
NPI 1710357926

Laresa D West is a Family Nurse Practitioner based in Macon, GA and is specialized in Family. Laresa D West practices in Macon, GA and has the professional credentials of NP. The NPI Number for Laresa D West is 1710357926 and holds a License No. RN162702NP (Georgia).

The current practice location address for Laresa D West is 540 Charter Blvd, Macon, GA and can be reached out via phone at 478-471-0089 and via fax at 478-471-0708.

Location: 540 Charter Blvd, Macon, GA, 31210-4892
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1710357926
Provider Name
Laresa D West
Credential
NP
Provider Entity Type
Individual
Gender
Female
Address
540 Charter Blvd, Macon, GA, 31210-4892
Phone Number
478-471-0089
Fax Number
478-471-0708
Provider Enumeration Date
09/30/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
540 Charter Blvd
City
Macon
State
Georgia
Zip
31210-4892
Phone Number
478-471-0089
Fax Number
478-471-0708
person
Provider Business Mailing Address Details
Address
540 Charter Blvd
City
Macon
State
Georgia
Zip
31210-4892
Phone Number
478-471-0089
Fax Number
478-471-0708
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
RN162702NP (Georgia)
Definition
Definition to come...
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