Individual
DEBORAH HURST PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
746 JEFFERSON AVE, SCRANTON, PA 18510-1624
(570) 346-7797
(570) 342-9802
Mailing address
PO BOX 390, SCRANTON, PA 18501-0390
(570) 346-7797
(570) 342-9802
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
031622
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
430031429
RR MEDICARE
PA
Enumeration date
12/27/2005
Last updated
01/30/2013
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