Provider Demographics
NPI:1952449662
Name:PRESTON, CATHIE C (APRN)
Entity Type:Individual
Prefix:
First Name:CATHIE
Middle Name:C
Last Name:PRESTON
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 MARGARET AVE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30066
Mailing Address - Country:US
Mailing Address - Phone:770-422-2009
Mailing Address - Fax:770-428-0330
Practice Address - Street 1:108 MARGARET AVE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30066
Practice Address - Country:US
Practice Address - Phone:770-422-2009
Practice Address - Fax:770-428-0330
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN072598 CNS DMH363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health