Doctor Name: | ERYN PRESTON |
NPI Number: | 1053304055 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | ARNP 9192390 |
Business Practice Address: | 134 S Woods Dr Rockledge, FL - 329553262 |
Business Phone Number: | 3216363066 |
Business Fax Number: | 3216362545 |
Mailing Address: | 134 S Woods Dr, ROCKLEDGE |
State: | FL |
Postal Code: | 329553262 |
Phone Number: | 3216363066 |
Fax Number: | 3216362545 |
NPI Enumeration Date: | 08/24/2005 |
NPI Last Update Date: | 03/30/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LP0200X |
License Number: | ARNP 9192390 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |