West, Staisha Renee
West, Staisha Renee is an sole proprietor health care provider with primary practice located at 4406 Timbercreek Cir , Roswell GA 30076-8821. She recently has only one registered license in Nursing Service Providers / Medical-Surgical, which is considered as her primary health care specialty. West, Staisha Renee can be contacted via phone (678) 580-7654.Contact Information
Primary practice address
4406 Timbercreek Cir
Roswell GA 30076-8821
Phone: (678) 580-7654
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Medical-Surgical | 163WM0705X | 239359 | Georgia |
Profile Details
| NPI number | 1427631134 |
|---|---|
| LBN Legal business name | West, Staisha Renee |
| Credentials | Registered Nurse (RN) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 30th, 2021 |
| Last updated | Apr 30th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1427631134 | NPPES |
| Georgia | MEDICAID | 1016 |
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