Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 12085 | NV |
N | 207RA0201X | Internist - Allergy & Immunology | 12085 | NV |
N | 207RA0201X | Internist - Allergy & Immunology | ME 91393 | FL |
NPI | 1871572768 |
---|---|
Provider Name | Dr. Jeffrey S Nugent |
First Address | Reno, NV 89521-5941 |
Second Address | Reno, NV 89521-5941 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/01/2006 |
Last Update Date | 19/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VAD000 | (02) | FL |