NPI 1295255529

Nicole Mariette Pugh, CNA

Practitioner Homemaker Saint Petersburg, FL

Practice location

Address: 512 79th Ter N APT 210, Saint Petersburg, FL 33702
Phone: (727) 810-5002
Mailing address: 512 79th Ter N APT 210, Saint Petersburg, FL 33702-4372

Registered specialties

Homemaker Primary

Nursing Service Related Providers Taxonomy 376J00000X Licence 234908 (FL)

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Registry record

NPI: 1295255529
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Jun 2017
Record last updated: 21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.