Individual
AUDEA PREYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5012 SOLERO WAY, SALIDA, CA 95368-9082
(209) 271-7934
Mailing address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 467-6540
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95020441
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/17/2022
Last updated
10/07/2022
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