Provider Demographics
NPI:1659004927
Name:PUZAK, HILARY B (DNP, APRN, PMHNP-BC)
Entity type:Individual
Prefix:
First Name:HILARY
Middle Name:B
Last Name:PUZAK
Suffix:
Gender:F
Credentials:DNP, APRN, PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2723 HORSE PEN CREEK RD STE 105
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27410-8390
Mailing Address - Country:US
Mailing Address - Phone:336-265-1762
Mailing Address - Fax:336-510-1000
Practice Address - Street 1:2723 HORSE PEN CREEK RD STE 105
Practice Address - Street 2:
Practice Address - City:GREENSBORO
Practice Address - State:NC
Practice Address - Zip Code:27410-8390
Practice Address - Country:US
Practice Address - Phone:336-265-1762
Practice Address - Fax:336-510-1000
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-05
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5017036363LP0808X, 363LP0808X, 363LP0808X
SC26673363LP0808X
VA0024192107363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Single Specialty