Provider Demographics
NPI:1063392082
Name:PUENTE, ANDREA (APRN, FNP-C)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:PUENTE
Suffix:
Gender:F
Credentials:APRN, FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7201 N 9TH AVE STE A5
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32504-6600
Mailing Address - Country:US
Mailing Address - Phone:850-981-4459
Mailing Address - Fax:850-635-3376
Practice Address - Street 1:7201 N 9TH AVE STE A5
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32504-6600
Practice Address - Country:US
Practice Address - Phone:850-981-4459
Practice Address - Fax:850-635-3376
Is Sole Proprietor?:No
Enumeration Date:2025-09-03
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAPRN11041862363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily