IndividualActive
Shane Preston, NP
NPI 1548917875 · Occupational Health Nurse Practitioner · Peabody, MA
Provider details
- NPI number
- 1548917875
- Entity type
- Individual
- Primary specialty
- Occupational Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- NP
- Sex
- Male
- Sole proprietor
- No
- License
- RN2324877 (MA)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
100 Brooksby Village Dr
Peabody, MA 01960-1438
Phone: (978) 536-7870
Fax: (978) 536-7997
Approximate (ZIP-level) locationGet directions
Mailing address
336 Highland Ave
Malden, MA 02148-5418
Registry dates
- Enumerated
- 2022-03-07
- Last updated
- 2023-01-27
- Certified
- 2023-01-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.