Individual
MRS. PAIGE CHRISTINE PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BAN
Contact information
Practice address
5905 O ST, LINCOLN, NE 68510-2235
(402) 436-1655
Mailing address
5905 O ST, LINCOLN, NE 68510-2235
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
75778
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
75778
NURSING DEGREE
MN
Enumeration date
08/24/2021
Last updated
08/24/2021
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