Individual provider · Type 1 NPI
Ethan Preston, FNP
Family Nurse Practitioner · Georgetown, TX
NPI number
1982191169
Active
Practice location
1502 Blue Ridge Dr Ste 100
Georgetown, TX 78626-1002
Fax (855) 220-9655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 4704266333 (MI) |
| Family Nurse Practitioner Primary | 363LF0000X | 1077676 (TX) |
Family Nurse Practitioner: Definition to come...
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About NPI 1982191169
Ethan Preston, FNP's National Provider Identifier is 1982191169, issued on Apr 13, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Georgetown, TX. The record was last updated on Mar 4, 2025.