| Doctor Name: | ELAINE PREST |
| NPI Number: | 1417297409 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | R.N. |
| License Number: | RN00067949 |
| Business Practice Address: | 230 Wildflower St. Ne Royal City, WA - 99357 |
| Business Phone Number: | 5093462268 |
| Business Fax Number: | 5093462207 |
| Mailing Address: | Po Box 486, ROYAL CITY |
| State: | WA |
| Postal Code: | 993570486 |
| Phone Number: | 5093462268 |
| Fax Number: | 5093462207 |
| NPI Enumeration Date: | 02/27/2013 |
| NPI Last Update Date: | 02/27/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WS0200X |
| License Number: | RN00067949 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |