MEDICARE: MS. AMBER ROSE WASHINGTON-LAPRESTA RN, MSN,DNP FNP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	RN266265	GA
2	363LF0000X	Family Nurse Practitioner	RN266265	GA
3	363LF0000X	Family Nurse Practitioner	5010841	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1023533486
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. AMBER ROSE WASHINGTON-LAPRESTA RN, MSN,DNP FNP

Provider Business Mailing Address
First Line	:	202D MCGILL AVE NW
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-4615
Country	:	US
Telephone Number	:	704-792-2242
Fax Number	:

Provider Business Practice Location Address
First Line	:	298 LINCOLN ST SW STE D
Second Line	:
City	:	CONCORD
State	:	NC
Zip	:	28025-5469
Country	:	US
Telephone Number	:	704-792-2313
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/07/2017
Last Update Date	:	06/09/2025

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