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NPI Code Detail

MEDICARE: ERYN PRESTON ARNP

MEDICARE: ERYN PRESTON ARNP
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
1363LP0200XPediatric Nurse PractitionerARNP 9192390FL

Other Identifiers

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

General Provider Information

NPI Number : 1053304055
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERYN PRESTON ARNP
Provider Business Mailing Address
First Line : 134 S WOODS DR
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3262
Country : US
Telephone Number : 321-636-3066
Fax Number : 321-636-2545
Provider Business Practice Location Address
First Line : 134 S WOODS DR
Second Line :
City : ROCKLEDGE
State : FL
Zip : 32955-3262
Country : US
Telephone Number : 321-636-3066
Fax Number : 321-636-2545
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2005
Last Update Date : 03/30/2009

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1154303790 — PEDIATRICS IN BREVARD, P.A.
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1538330618 — FIRST ULTRASOUND INC
Practice Location Address:
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