Individual
CHERYL PUELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-1739
Mailing address
580 COURT ST, KEENE, NH 03431-1729
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN270109
MA
363LF0000X
Family Nurse Practitioner
081300-23
NH
363LF0000X
Family Nurse Practitioner
101.0134914
VT
Other
Enumeration date
07/26/2021
Last updated
01/23/2024
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