Individual
MR. SHANE PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
100 BROOKSBY VILLAGE DR, PEABODY, MA 01960-1438
(978) 536-7870
(978) 536-7997
Mailing address
336 HIGHLAND AVE, MALDEN, MA 02148-5418
(781) 605-8158
Taxonomy
Speciality
Code
Description
License number
State
363LX0106X
Occupational Health Nurse Practitioner
Primary
RN2324877
MA
Other
Enumeration date
03/07/2022
Last updated
01/27/2023
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