Provider Demographics
NPI:1114308657
Name:PUIG, CECILIA ANN (DNP, APRN, CNP)
Entity Type:Individual
Prefix:
First Name:CECILIA
Middle Name:ANN
Last Name:PUIG
Suffix:
Gender:F
Credentials:DNP, APRN, CNP
Other - Prefix:
Other - First Name:CECILIA
Other - Middle Name:ANN
Other - Last Name:ENGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP, APRN, CNP
Mailing Address - Street 1:PO BOX 780125
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19178-0125
Mailing Address - Country:US
Mailing Address - Phone:804-922-4844
Mailing Address - Fax:
Practice Address - Street 1:1000 E BROAD ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23219-1930
Practice Address - Country:US
Practice Address - Phone:804-828-3500
Practice Address - Fax:804-628-4594
Is Sole Proprietor?:No
Enumeration Date:2015-06-10
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4035363L00000X
MNR186160-4363L00000X
VA0024188711363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner