Provider Demographics
NPI:1386340511
Name:WESTMORELAND, BARRY LEE II (NP)
Entity type:Individual
Prefix:
First Name:BARRY
Middle Name:LEE
Last Name:WESTMORELAND
Suffix:II
Gender:M
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 744786
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-4786
Mailing Address - Country:US
Mailing Address - Phone:704-834-2450
Mailing Address - Fax:704-671-5331
Practice Address - Street 1:934 COX RD
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-3456
Practice Address - Country:US
Practice Address - Phone:980-834-5864
Practice Address - Fax:704-864-0288
Is Sole Proprietor?:No
Enumeration Date:2023-01-31
Last Update Date:2024-12-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NC5018232363L00000X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner