Provider Demographics
NPI:1629446109
Name:PRESTON, DANIELLE JOHNS
Entity Type:Individual
Prefix:
First Name:DANIELLE
Middle Name:JOHNS
Last Name:PRESTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 CARR ST
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80226-1309
Mailing Address - Country:US
Mailing Address - Phone:720-233-7634
Mailing Address - Fax:
Practice Address - Street 1:120 CARR ST
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-1309
Practice Address - Country:US
Practice Address - Phone:720-233-7634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-14
Last Update Date:2015-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula