Provider Demographics
NPI:1376332841
Name:PUGH, SKYLER ELAIN
Entity type:Individual
Prefix:
First Name:SKYLER
Middle Name:ELAIN
Last Name:PUGH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10334 PARAMOUNT BLVD APT 4
Mailing Address - Street 2:
Mailing Address - City:DOWNEY
Mailing Address - State:CA
Mailing Address - Zip Code:90241-2375
Mailing Address - Country:US
Mailing Address - Phone:323-829-9184
Mailing Address - Fax:
Practice Address - Street 1:10334 PARAMOUNT BLVD APT 4
Practice Address - Street 2:
Practice Address - City:DOWNEY
Practice Address - State:CA
Practice Address - Zip Code:90241-2375
Practice Address - Country:US
Practice Address - Phone:323-829-9184
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-02
Last Update Date:2025-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula