Provider Demographics
NPI:1912628785
Name:PUENTES, KARLA MARINA (FNP)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:MARINA
Last Name:PUENTES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 CREEKSIDE XING STE 230
Mailing Address - Street 2:
Mailing Address - City:NEW BRAUNFELS
Mailing Address - State:TX
Mailing Address - Zip Code:78130-7532
Mailing Address - Country:US
Mailing Address - Phone:830-302-4404
Mailing Address - Fax:
Practice Address - Street 1:545 CREEKSIDE XING STE 230
Practice Address - Street 2:
Practice Address - City:NEW BRAUNFELS
Practice Address - State:TX
Practice Address - Zip Code:78130-7532
Practice Address - Country:US
Practice Address - Phone:830-302-4404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-08
Last Update Date:2024-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX10934473363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner