Preston, Ella

Preston, Ella is an individual health care provider with primary practice located at 855 S Main St , Oconto Falls WI 54154-1241. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Preston, Ella can be contacted via phone (920) 846-3444.

Contact Information

Primary practice address
855 S Main St Oconto Falls WI 54154-1241
Phone: (920) 846-3444
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 16048-33 Wisconsin

Profile Details

NPI number 1225858657
LBN Legal business name Preston, Ella
Credentials APNP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2024
Last updated Dec 20th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1225858657 NPPES
Wisconsin MEDICAID 100293353

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