Individual
EMILY PUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 RANDOLPH RD STE 1010, CHARLOTTE, NC 28207-1117
(704) 384-1390
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
5022546
NC
363LP0200X
Pediatric Nurse Practitioner
5022546
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
NC
Other
Enumeration date
06/23/2025
Last updated
08/26/2025
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