| Doctor Name: | AMANDA LEE WEST |
| NPI Number: | 1063706026 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | APRN |
| License Number: | RN213041 |
| Business Practice Address: | 551616 Us Highway 1 Hilliard, FL - 320468281 |
| Business Phone Number: | 9048453574 |
| Business Fax Number: | 9048457418 |
| Mailing Address: | 551616 Us Highway 1, HILLIARD |
| State: | FL |
| Postal Code: | 320468281 |
| Phone Number: | 9048453574 |
| Fax Number: | 9048457418 |
| NPI Enumeration Date: | 06/07/2011 |
| NPI Last Update Date: | 09/17/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN213041 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |