Provider Demographics
NPI:1417297409
Name:PREST, ELAINE (RN)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:PREST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 486
Mailing Address - Street 2:
Mailing Address - City:ROYAL CITY
Mailing Address - State:WA
Mailing Address - Zip Code:99357-0486
Mailing Address - Country:US
Mailing Address - Phone:509-346-2268
Mailing Address - Fax:509-346-2207
Practice Address - Street 1:230 WILDFLOWER ST. NE
Practice Address - Street 2:
Practice Address - City:ROYAL CITY
Practice Address - State:WA
Practice Address - Zip Code:99357
Practice Address - Country:US
Practice Address - Phone:509-346-2268
Practice Address - Fax:509-346-2207
Is Sole Proprietor?:No
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN00067949163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool