BRANDY PUGMIRE PN
NPI 1689816563
Licensed Practical Nurse in Fort Hall, ID

Active since March 24, 2009
717 MISSION RD, FORT HALL, ID 83203(208) 238-2400(208) 238-5462 Get Directions Write a Review

NPPES record last updated: March 24, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Brandy Pugmire Pn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDY PUGMIRE PN (NPI 1689816563) is an individual licensed practical nurse in Fort Hall, Idaho, licensed in Idaho (PN 14030) and active in the NPI registry since March 2009.

NPPES Registry Identity

NPI1689816563
Entity TypeIndividualFemale
Primary Taxonomy164W00000X
Provider Legal NameBRANDY PUGMIRECredential: PN
Location Address717 MISSION RDFort Hall, ID 83203-0717
Mailing AddressPo Box 306Fort Hall, ID 83203-0306 · (208) 238-2400 · Fax (208) 238-5462
Fax(208) 238-5462
Sole ProprietorNo
Enumeration DateMarch 24, 2009
NPI 1689816563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License Licensed in ID · PN 14030
Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

717 MISSION RD, Fort Hall, ID 83203

Other Identifiers 1

Medicaid003399100ID

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Behavior Analyst
717 MISSION RD, 306
FORT HALL, ID 83203
Licensed Practical Nurse
717 MISSION RD
FORT HALL, ID 83203
Registered Nurse
717 MISSION RD
FORT HALL, ID 83203
Clinic/Center (Public Health, Federal)
717 MISSION RD
FT HALL, ID 83203
Registered Nurse
717 MISSION RD
FORT HALL, ID 83203
Registered Nurse
717 MISSION RD
FORT HALL, ID 83203
Registered Nurse
717 MISSION RD
FORT HALL, ID 83203

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandy Pugmire's NPI number?

The NPI number for Brandy Pugmire is 1689816563. It was assigned to this individual provider in the NPPES registry on March 24, 2009.

Where is Brandy Pugmire located?

Brandy Pugmire practices at 717 Mission Rd, Fort Hall, ID 83203. The listed phone number is (208) 238-2400.

What is Brandy Pugmire's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Brandy Pugmire was last updated on March 24, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.