Individual
JOEL ALFONSO PUERTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Contact information
Practice address
1695 KERNERSVILLE MEDICAL PKWY, KERNERSVILLE, NC 27284-7159
(336) 515-5000
Mailing address
1601 BRENNER AVE, SALISBURY, NC 28144-2515
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
11003753
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1396383337
—
FL
Enumeration date
12/19/2019
Last updated
11/27/2023
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