Individual
NICOLE PUCCINELLI-ORTEGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, NBC-HWC
Contact information
Practice address
WAKE FOREST SCHOOL OF MEDICINE MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-0001
(336) 671-1042
Mailing address
200 BROWDER LN, ADVANCE, NC 27006-7995
(336) 671-1042
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
A-3234757
—
Other
Enumeration date
06/02/2021
Last updated
06/02/2021
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