Provider Demographics
NPI:1639600935
Name:WEST, AMY MELISSA (FNP-BC)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:MELISSA
Last Name:WEST
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1130 EMERALD SOUND BLVD
Mailing Address - Street 2:
Mailing Address - City:OAK POINT
Mailing Address - State:TX
Mailing Address - Zip Code:75068-2236
Mailing Address - Country:US
Mailing Address - Phone:128-449-1335
Mailing Address - Fax:
Practice Address - Street 1:1130 EMERALD SOUND BLVD
Practice Address - Street 2:
Practice Address - City:OAK POINT
Practice Address - State:TX
Practice Address - Zip Code:75068-2236
Practice Address - Country:US
Practice Address - Phone:512-844-9133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-27
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COC-APN.0101437-C-NP363LF0000X
NY351033363LF0000X
TXAP133661363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily