Provider Demographics
NPI:1447055322
Name:PRESTON, DIANA MARIE (BSN RN)
Entity type:Individual
Prefix:MS
First Name:DIANA
Middle Name:MARIE
Last Name:PRESTON
Suffix:
Gender:F
Credentials:BSN RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1350 MAIN ST STE 116
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01103-1690
Mailing Address - Country:US
Mailing Address - Phone:413-435-0226
Mailing Address - Fax:
Practice Address - Street 1:1350 MAIN ST STE 116
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01103-1690
Practice Address - Country:US
Practice Address - Phone:413-435-0226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-15
Last Update Date:2025-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIRN68164163W00000X
MARN2345901163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse