Provider Demographics
NPI:1225060320
Name:PRESTON-ERIE, MARGARETH (ARNP)
Entity Type:Individual
Prefix:
First Name:MARGARETH
Middle Name:
Last Name:PRESTON-ERIE
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:MARGARETH
Other - Middle Name:
Other - Last Name:PRESTON-ERIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:1250 SOUTHWINDS DR
Mailing Address - Street 2:
Mailing Address - City:LANTANA
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1459
Mailing Address - Country:US
Mailing Address - Phone:561-582-5559
Mailing Address - Fax:561-439-4384
Practice Address - Street 1:1250 SOUTHWINDS DR
Practice Address - Street 2:
Practice Address - City:LANTANA
Practice Address - State:FL
Practice Address - Zip Code:33462-1459
Practice Address - Country:US
Practice Address - Phone:561-582-5559
Practice Address - Fax:561-439-4384
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2014-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL2039632363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL307790000Medicaid
FLAJ805YMedicare UPIN