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NPI Code Detail

MEDICARE: RAIGINA LENETTE PRESTON PMHNP-BC

MEDICARE:   RAIGINA LENETTE PRESTON  PMHNP-BC
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
1363LP0808XPsychiatric/Mental Health Nurse Practitioner761386TX

General Provider Information

NPI Number : 1396172631
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAIGINA LENETTE PRESTON PMHNP-BC
Provider Business Mailing Address
First Line : 4900 UNION PARK BLVD E
Second Line :
City : AUBREY
State : TX
Zip : 76227-1532
Country : US
Telephone Number : 770-596-5541
Fax Number :
Provider Business Practice Location Address
First Line : 1400 NORTH COIT RD
Second Line : STE 1004
City : MCKINNEY
State : TX
Zip : 75071
Country : US
Telephone Number : 469-489-0070
Fax Number : 469-489-0068
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/01/2013
Last Update Date : 04/23/2021

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Directions to “ RAIGINA LENETTE PRESTON PMHNP-BC” Practice Location

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