Doctor Name: | MS. MARY SILVERMAN PUGH |
NPI Number: | 1023072972 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NNP |
License Number: | 55098 |
Business Practice Address: | 10101 Ridgegate Pkwy Lone Tree, CO - 801245522 |
Business Phone Number: | 7202252200 |
Business Fax Number: | 7202252269 |
Mailing Address: | 6131 S Boston Cir, GREENWOOD VILLAGE |
State: | CO |
Postal Code: | 801115200 |
Phone Number: | 7202252200 |
Fax Number: | 7202252269 |
NPI Enumeration Date: | 04/15/2006 |
NPI Last Update Date: | 11/21/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LN0000X |
License Number: | 55098 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Neonatal |
Taxonomy Definition: |