Individual
BERNA JEAN BESANA MIRAFUENTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AGNP
Contact information
Practice address
209 ALEXANDER PRESTON LN, WINSTON SALEM, NC 27127-7295
(336) 409-7683
Mailing address
209 ALEXANDER PRESTON LN, WINSTON SALEM, NC 27127-7295
(336) 409-7683
Taxonomy
Speciality
Code
Description
License number
State
163WM0705X
Medical-Surgical Registered Nurse
205278
NC
363L00000X
Nurse Practitioner
5018692
NC
363LG0600X
Gerontology Nurse Practitioner
Primary
5018692
NC
Other
Enumeration date
03/20/2023
Last updated
02/11/2026
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