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Contact Information

BERNA JEAN B MIRAFUENTE, AGNP
209 ALEXANDER PRESTON LN
WINSTON-SALEM, NC27127-7295
 Phone: 336-409-7683
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

363LG0600X 50 Nurse Practitioner
 

Medical-Surgical

163WM0705X
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
Indicates primary specialty

NPI Profile & details for BERNA JEAN B MIRAFUENTE · (Female)

NPI Number 1477255057
Status Active
Credentials AGNP
Entity Individual
Enumeration date 03/20/2023
Last updated 02/11/2026 - About 4 months ago
Sole proprietor 1 Yes
Identifiers
  • NC License # 205278
  • NC License # 5018692
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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