Provider Demographics
NPI:1952431850
Name:PRESTON, ELIZABETH CLANCE (RN MSN CNM ARNP)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:CLANCE
Last Name:PRESTON
Suffix:
Gender:F
Credentials:RN MSN CNM ARNP
Other - Prefix:
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Mailing Address - Street 1:651345C KAWAIHAE ROAD
Mailing Address - Street 2:
Mailing Address - City:KAMUELA
Mailing Address - State:HI
Mailing Address - Zip Code:96743
Mailing Address - Country:US
Mailing Address - Phone:808-887-2629
Mailing Address - Fax:808-775-1206
Practice Address - Street 1:45-549 PLUMERIA ST
Practice Address - Street 2:
Practice Address - City:HONOKAA
Practice Address - State:HI
Practice Address - Zip Code:96727-6902
Practice Address - Country:US
Practice Address - Phone:808-775-7204
Practice Address - Fax:808-775-1206
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
HI342363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner