Individual provider · Type 1 NPI
Gwendolyn Preston, FNP
Psychiatric/Mental Health Nurse Practitioner · Los Angeles, CA
NPI number
1053752485
Active
Practice location
679 S New Hampshire Ave
Los Angeles, CA 90005-1355
Mailing address
1491 N Mar Vista Ave
Pasadena, CA 91104-2506
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21719 (CA) |
| Psychiatric/Mental Health Nurse Practitioner Primary | 363LP0808X | 21719 (CA) |
Psychiatric/Mental Health Nurse Practitioner: Definition to come...
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About NPI 1053752485
Gwendolyn Preston, FNP's National Provider Identifier is 1053752485, issued on Jul 15, 2013. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Los Angeles, CA. The record was last updated on Oct 23, 2019.