Individual
STEPHANIE LYNN PRESTON
Active
Individual
STEPHANIE LYNN PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
019755
OH
367500000X
Certified Registered Nurse Anesthetist
209014268
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
28140106A
IN
367500000X
Certified Registered Nurse Anesthetist
4704239128
MI
367500000X
Certified Registered Nurse Anesthetist
9485336
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000479193
ANTHEM PROVIDER NUMBER
IN
05
—
200822890
—
IN
01
—
9434123
PHCS PID NUMBER
IN
Enumeration date
04/21/2006
Last updated
11/24/2018
Update your record
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