Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LN0000X | Nurse Practitioner - Neonatal | 55098 | CO |
NPI | 1023072972 |
---|---|
Provider Name | Ms. Mary Silverman Pugh |
First Address | Greenwood Village, CO 80111-5200 |
Second Address | Lone Tree, CO 80124-5522 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/04/2006 |
Last Update Date | 21/11/2008 |