Provider Demographics
NPI:1386015543
Name:WEST, PRESTON I (ARNP)
Entity Type:Individual
Prefix:
First Name:PRESTON
Middle Name:I
Last Name:WEST
Suffix:
Gender:M
Credentials:ARNP
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 2699
Mailing Address - Street 2:ATTN: SHMG/HPE
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32513-2699
Mailing Address - Country:US
Mailing Address - Phone:850-416-4970
Mailing Address - Fax:850-416-4969
Practice Address - Street 1:5151 N 9TH AVE
Practice Address - Street 2:STE 200
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-8721
Practice Address - Country:US
Practice Address - Phone:850-416-4970
Practice Address - Fax:850-416-4969
Is Sole Proprietor?:No
Enumeration Date:2015-10-14
Last Update Date:2021-08-16
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLARNP9235084363LA2100X
FLAPRN9235084363LA2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care