Individual provider · Type 1 NPI

Brandy Pugmire, PN

Licensed Practical Nurse · Fort Hall, ID

NPI number 1689816563 Active

Practice location

717 Mission Rd
Fort Hall, ID 83203-0717

Fax (208) 238-5462

Mailing address

PO Box 306
Fort Hall, ID 83203-0306

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XPN 14030 (ID)

Licensed Practical Nurse: 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.

7 other providers at this address

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About NPI 1689816563

Brandy Pugmire, PN's National Provider Identifier is 1689816563, issued on Mar 24, 2009. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Fort Hall, ID. The record was last updated on Mar 24, 2009.