Individual
MS. LORETTA CHERYL PUZIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
9002 N. MERIDIAN, SUITE 107, INDIANAPOLIS, IN 46260
(317) 848-9441
(317) 924-8239
Mailing address
PO BOX 603725, CHARLOTTE, NC 28260-3725
(828) 575-2625
(828) 350-2174
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71003094A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201144500
—
IN
01
—
IN1125011
MEDICARE PTAN
IN
01
—
IN1127010
MEDICARE PTAN
IN
Enumeration date
10/27/2009
Last updated
10/30/2023
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