PRESTON STREBECK


Address: 3733 E Meadow Mist Ln, San Tan Valley, AZ 85140-5374
Phone: 4805106626

PRESTON STREBECK (NPI# 1619584406) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1619584406
Entity Type Individual
Full Name PRESTON STREBECK
Credential PMHNP
Practice Address 3733 E Meadow Mist Ln
San Tan Valley
AZ 85140-5374
Practice Telephone 4805106626
Mailing Telephone 4805106626
Enumeration Date 2020-09-25
Last Update Date 2020-09-25
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0808X Nurse Practitioner
Specialization: Psych/Mental Health
245222 AZ Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3733 E MEADOW MIST LN
City SAN TAN VALLEY
State AZ
Zip Code 85140-5374

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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City SAN TAN VALLEY
Zip Code 85140

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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