Individual
KAREN E PRESTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
1040 EDGEWATER CORP PKWY, SUITE 106, INDIAN LAND, SC 29707-4514
(704) 541-9117
(704) 541-9137
Mailing address
332 CATALINA DR, MOORESVILLE, NC 28117-8566
(704) 696-8220
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
19393
SC
363LF0000X
Family Nurse Practitioner
Primary
5006697
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
185620JZW
MEDICARE NUMBER
PA
01
—
19393
SCBON
SC
01
—
5006697
NCBON
NC
01
—
SP010827
LICENSE
PA
Enumeration date
05/11/2010
Last updated
05/16/2025
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