Individual
JANIS PANZENHAGEN PUGLISI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, APRN, FNP-BC
Contact information
Practice address
2850 S MAIN ST STE 104, HIGH POINT, NC 27263-1900
(336) 200-7003
Mailing address
PO BOX 746724, ATLANTA, GA 30374-6724
(773) 644-3941
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
201506
NC
363LF0000X
Family Nurse Practitioner
201506
NC
363LP2300X
Primary Care Nurse Practitioner
141960RN
NC
363LP2300X
Primary Care Nurse Practitioner
201506NP
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
141960
RN
NC
01
—
201506
NURSE PRACTITIONER
NC
Enumeration date
10/15/2006
Last updated
09/16/2024
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