Provider Demographics
NPI:1891351672
Name:PUZAN, EMILY JEAN (NP)
Entity Type:Individual
Prefix:MRS
First Name:EMILY
Middle Name:JEAN
Last Name:PUZAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:684 N PORT CRESCENT ST
Mailing Address - Street 2:
Mailing Address - City:BAD AXE
Mailing Address - State:MI
Mailing Address - Zip Code:48413-1275
Mailing Address - Country:US
Mailing Address - Phone:989-912-6575
Mailing Address - Fax:989-912-6031
Practice Address - Street 1:684 N PORT CRESCENT ST
Practice Address - Street 2:
Practice Address - City:BAD AXE
Practice Address - State:MI
Practice Address - Zip Code:48413-1275
Practice Address - Country:US
Practice Address - Phone:989-912-6575
Practice Address - Fax:989-912-6031
Is Sole Proprietor?:No
Enumeration Date:2019-05-16
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4704313382363LF0000X, 163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse