MEDICARE: AESHA PRESTON

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	171M00000X	Case Manager/Care Coordinator		OH
2	164W00000X	Licensed Practical Nurse	162467	OH

General Provider Information

NPI Number	:	1548002827
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AESHA PRESTON

Provider Business Mailing Address
First Line	:	840 NELA VIEW RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44112-2351
Country	:	US
Telephone Number	:	216-673-9093
Fax Number	:

Provider Business Practice Location Address
First Line	:	840 NELA VIEW RD
Second Line	:
City	:	CLEVELAND HEIGHTS
State	:	OH
Zip	:	44112-2351
Country	:	US
Telephone Number	:	216-673-9093
Fax Number	:

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

Provider Enumeration Date	:	06/08/2024
Last Update Date	:	03/31/2025

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Directions to “ AESHA PRESTON ” Practice Location

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