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NPI Code Detail

MEDICARE: HEATHER PUENTE

MEDICARE: HEATHER PUENTE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor
2172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1245710888
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER PUENTE
Provider Business Mailing Address
First Line : 46A CHESTER ST
Second Line :
City : WORCESTER
State : MA
Zip : 01605-1040
Country : US
Telephone Number : 774-239-3566
Fax Number :
Provider Business Practice Location Address
First Line : 324 CLARK ST
Second Line :
City : WORCESTER
State : MA
Zip : 01606-1214
Country : US
Telephone Number : 508-752-3969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/14/2018
Last Update Date : 09/30/2020

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Directions to “ HEATHER PUENTE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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