Preston, Stephanie Lynn

Preston, Stephanie Lynn is an individual health care provider with primary practice located at 811 S 9Th St , Lafayette IN 47905-5545. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Preston, Stephanie Lynn can be contacted via phone (765) 742-4950.

Contact Information

Primary practice address
811 S 9Th St Lafayette IN 47905-5545
Phone: (765) 742-4950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28140106A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 019755 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 209014268 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 4704239128 Michigan
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 9485336 Florida

Profile Details

NPI number 1427014331
LBN Legal business name Preston, Stephanie Lynn
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Nov 24th, 2018 - about 8 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 1427014331 NPPES
Indiana MEDICAID 200822890
Indiana Other 000000479193
Indiana Other 9434123

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