Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE NICOLE PUGH, RDN
Active Sole ProprietorSTEPHANIE NICOLE PUGH, RDN is a Nutritionist healthcare provider located in TWIN FALLS, Idaho. NPI 1528778933 is currently active in the NPPES registry. Verify at CMS.
Nutritionist · TWIN FALLS, ID
Registration Details
- NPI Number
- 1528778933
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 28, 2022 (3.6703531954999 yrs)
- Last Updated
- Mar 26, 2025
- License
-
D-1209 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 POLE LINE RD WTWIN FALLS, ID, 833015810Browse ID providers · Browse ZIP 83301
- Phone
- 2088141016
- Fax
- 2088141931
- Primary Specialty
-
Nutritionist
133N00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.