Provider Demographics
NPI:1487927604
Name:NUGENT, NANCY LOUISE (LPN, RHIT)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:LOUISE
Last Name:NUGENT
Suffix:
Gender:F
Credentials:LPN, RHIT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2525 TEA RD
Mailing Address - Street 2:
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59602-9143
Mailing Address - Country:US
Mailing Address - Phone:406-458-9549
Mailing Address - Fax:
Practice Address - Street 1:2525 TEA RD
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59602-9143
Practice Address - Country:US
Practice Address - Phone:406-458-9549
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-18
Last Update Date:2012-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTLPN7531164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse