Provider Demographics
NPI:1508084955
Name:PRESTON, XAVIERA (CNA)
Entity Type:Individual
Prefix:MISS
First Name:XAVIERA
Middle Name:
Last Name:PRESTON
Suffix:
Gender:F
Credentials:CNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2455 E SUNRISE BLVD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3118
Mailing Address - Country:US
Mailing Address - Phone:954-564-4300
Mailing Address - Fax:
Practice Address - Street 1:2455 E SUNRISE BLVD
Practice Address - Street 2:SUITE 300
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33304-3118
Practice Address - Country:US
Practice Address - Phone:954-564-4300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCNA 9000017196376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide