Provider Demographics
NPI:1225377641
Name:BRUGH, JANET NOLAN (RN)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:NOLAN
Last Name:BRUGH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1250 POLO RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29223-8153
Mailing Address - Country:US
Mailing Address - Phone:803-419-2226
Mailing Address - Fax:803-462-2173
Practice Address - Street 1:1250 POLO RD
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29223-8153
Practice Address - Country:US
Practice Address - Phone:803-419-2226
Practice Address - Fax:803-462-2173
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-05
Last Update Date:2013-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCR18406163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WS0200XNursing Service ProvidersRegistered NurseSchool