Provider Demographics
NPI:1306736756
Name:WESTMAN, AGUSTINA COLOMBO (NP)
Entity type:Individual
Prefix:
First Name:AGUSTINA
Middle Name:COLOMBO
Last Name:WESTMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7531 BREEZY LAKE LN
Mailing Address - Street 2:
Mailing Address - City:FLOWERY BRANCH
Mailing Address - State:GA
Mailing Address - Zip Code:30542-7736
Mailing Address - Country:US
Mailing Address - Phone:786-280-5765
Mailing Address - Fax:
Practice Address - Street 1:1631 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:GA
Practice Address - Zip Code:30504-5942
Practice Address - Country:US
Practice Address - Phone:770-718-1517
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-08
Last Update Date:2025-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
GARN335546363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily