Provider Demographics
NPI:1023533486
Name:WASHINGTON-LAPRESTA, AMBER ROSE (RN, MSN,DNP FNP)
Entity type:Individual
Prefix:MS
First Name:AMBER
Middle Name:ROSE
Last Name:WASHINGTON-LAPRESTA
Suffix:
Gender:F
Credentials:RN, MSN,DNP FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202D MCGILL AVE NW
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NC
Mailing Address - Zip Code:28025-4615
Mailing Address - Country:US
Mailing Address - Phone:704-792-2242
Mailing Address - Fax:
Practice Address - Street 1:298 LINCOLN ST SW STE D
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NC
Practice Address - Zip Code:28025-5469
Practice Address - Country:US
Practice Address - Phone:704-792-2313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-07
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN266265163W00000X, 363LF0000X
NC5010841363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA1023533486Medicaid
NC345534AMedicaid