person
Brandy Pugmire, PN
Licensed Practical Nurse in Fort Hall, Idaho
NPI 1689816563

Brandy Pugmire is a Licensed Practical Nurse based in Fort Hall, ID. Brandy Pugmire practices in Fort Hall, ID and has the professional credentials of PN. The NPI Number for Brandy Pugmire is 1689816563 and holds a License No. PN 14030 (Idaho).

The current practice location address for Brandy Pugmire is 717 Mission Rd, Fort Hall, ID and can be reached out via phone at 208-238-2400 and via fax at 208-238-5462.

Location: 717 Mission Rd, Fort Hall, ID, 83203-0306
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Provider Profile Details
NPI Number
1689816563
Provider Name
Brandy Pugmire
Credential
PN
Provider Entity Type
Individual
Gender
Female
Address
717 Mission Rd, Fort Hall, ID, 83203-0306
Phone Number
208-238-2400
Fax Number
208-238-5462
Provider Enumeration Date
03/24/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003399100 05 ID
institution
Provider Business Practice Location Address Details
Address
717 Mission Rd
City
State
Zip
83203-0717
Phone Number
208-238-2400
Fax Number
208-238-5462
person
Provider Business Mailing Address Details
Address
717 Mission Rd
City
State
Zip
83203-0717
Phone Number
208-238-2400
Fax Number
208-238-5462
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Licensed Practical Nurse
Speciality
-
Taxonomy
License No.
PN 14030 (Idaho)
Definition
An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
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