Provider Demographics
NPI:1174547913
Name:NELSON- PRESTON, AMETHYST ALTHEA (RN)
Entity type:Individual
Prefix:MRS
First Name:AMETHYST
Middle Name:ALTHEA
Last Name:NELSON- PRESTON
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3494 HILL DR
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-4112
Mailing Address - Country:US
Mailing Address - Phone:140-431-4373
Mailing Address - Fax:770-837-3701
Practice Address - Street 1:3494 HILL DR
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-4112
Practice Address - Country:US
Practice Address - Phone:140-431-4373
Practice Address - Fax:770-837-3701
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered372600000XNursing Service Related ProvidersAdult Companion
Not Answered374U00000XNursing Service Related ProvidersHome Health Aide