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NPI Code Detail

MEDICARE: JULINNA PUGH RN

MEDICARE: JULINNA PUGH RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WC0200XCritical Care Medicine Registered NurseRN157577LA

General Provider Information

NPI Number : 1245052539
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULINNA PUGH RN
Provider Business Mailing Address
First Line : PO BOX 22
Second Line :
City : ANACOCO
State : LA
Zip : 71403-0022
Country : US
Telephone Number : 337-353-9969
Fax Number :
Provider Business Practice Location Address
First Line : 5188 WEST ST
Second Line :
City : ANACOCO
State : LA
Zip : 71403-2826
Country : US
Telephone Number : 337-353-9969
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/28/2024
Last Update Date : 10/28/2024

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