Individual
IVIAN PUENTE ROCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGNP-C
Contact information
Practice address
4633 BAYSHORE DR APT M2, NAPLES, FL 34112-6574
(503) 421-7276
Mailing address
4633 BAYSHORE DR APT M2, NAPLES, FL 34112-6574
(503) 421-7276
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
AG12230019
FL
363LC1500X
Community Health Nurse Practitioner
AG12230019
FL
363LF0000X
Family Nurse Practitioner
AG12230019
FL
363LG0600X
Gerontology Nurse Practitioner
AG12230019
FL
363LP2300X
Primary Care Nurse Practitioner
AG12230019
FL
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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