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NPI Code Detail

MEDICARE: MS. ROSAMOND M REFFELL-PUGH FNP

MEDICARE: MS. ROSAMOND M REFFELL-PUGH FNP
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
1363L00000XNurse Practitioner10006147OR
2163WC1500XCommunity Health Registered Nurse6368461NY
3363LF0000XFamily Nurse Practitioner340186NY

General Provider Information

NPI Number : 1891087771
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ROSAMOND M REFFELL-PUGH FNP
Provider Business Mailing Address
First Line : PO BOX 190
Second Line :
City : TOPPENISH
State : WA
Zip : 98948-0190
Country : US
Telephone Number : 509-865-2395
Fax Number : 509-865-0727
Provider Business Practice Location Address
First Line : 2275 COMMERCIAL ST
Second Line :
City : ASTORIA
State : OR
Zip : 97103-3327
Country : US
Telephone Number : 503-325-8315
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2011
Last Update Date : 03/19/2026

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