MEDICARE: PRESTON JAMES DYE FNP

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
1	163W00000X	Registered Nurse	13534570-3102	UT

General Provider Information

NPI Number	:	1205795424
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PRESTON JAMES DYE FNP

Provider Business Mailing Address
First Line	:	542 S ROCKWELL LN
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84720-8527
Country	:	US
Telephone Number	:	208-360-3797
Fax Number	:

Provider Business Practice Location Address
First Line	:	1303 N MAIN ST
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84721-9746
Country	:	US
Telephone Number	:	435-865-7000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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