NPI 1528778933
Stephanie Nicole Pugh, RDN
Practice location
- Address
- 801 Pole Line Rd W, Twin Falls, ID 83301-5810
- Phone
- (208) 814-1016
- Fax
- (208) 814-1931
- Mailing address
- 190 E Bannock St, Boise, ID 83712-6241
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1528778933
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 28 Nov 2022
- Record last updated
- 26 Mar 2025
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.