Individual
RENAE L PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Mailing address
1400 MEDICAL CAMPUS DR, TRAVERSE CITY, MI 49684-7823
(231) 935-8000
(231) 935-8099
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
4704239937
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1417105800
—
MI
Enumeration date
08/28/2008
Last updated
12/28/2020
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