Individual
DANIEL EDUARDO BEJARANO PUENTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNP
Contact information
Practice address
823 MICHIGAN ST, SIDNEY, OH 45365-2685
(937) 498-5334
(937) 494-5914
Mailing address
3712 RUNYON AVE, TROTWOOD, OH 45416-1341
(937) 278-5155
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
APRN.CNP.020979
OH
363LA2200X
Adult Health Nurse Practitioner
Primary
APRN.CNP.020979
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0234227
—
OH
Enumeration date
06/09/2017
Last updated
12/16/2020
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