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Individual

LORETTA PRESTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CRNP

Contact information

Practice address
1515 6TH AVE S, BIRMINGHAM, AL 35233-1601
(205) 279-2860
(205) 255-2019
Mailing address
1526 5TH AVE S, BIRMINGHAM, AL 35233-1615
(205) 279-2860
(205) 252-0197

Taxonomy

Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
1046690
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009958435
AL
05
009960235
AL
05
009960245
AL
05
009960255
AL
05
009960265
AL
05
009960275
AL
05
009960285
AL
05
009973855
AL
01
051522768
BCBS OF AL
AL
01
051522769
BCBS OF AL
AL
01
051522770
BCBS OF AL
AL
01
051522771
BCBS OF AL
AL
01
051522773
BCBS OF AL
AL
01
051522774
BCBS OF AL
AL
01
051522775
BCBS OF AL
AL
01
051524381
BCBS OF AL
AL
01
051524382
BCBS OF AL
AL
05
891009160
AL
05
891009170
AL
Enumeration date
08/11/2006
Last updated
12/07/2011
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