Doctor Name: | ANGELA MARIE NUGENT |
NPI Number: | 1033245071 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LH00010861 |
Business Practice Address: | 325 E Pioneer Ave Puyallup, WA - 983723265 |
Business Phone Number: | 2536978400 |
Business Fax Number: | 2536973730 |
Mailing Address: | 325 E Pioneer Ave, PUYALLUP |
State: | WA |
Postal Code: | 983723265 |
Phone Number: | 2536978400 |
Fax Number: | 2536973730 |
NPI Enumeration Date: | 02/26/2007 |
NPI Last Update Date: | 06/28/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00010861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |