Provider Demographics
NPI:1518760222
Name:PLUGGE, ADORIA R
Entity type:Individual
Prefix:
First Name:ADORIA
Middle Name:R
Last Name:PLUGGE
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 1:82840 OLD HWY 101
Mailing Address - Street 2:
Mailing Address - City:SPALDING
Mailing Address - State:NE
Mailing Address - Zip Code:68665-6221
Mailing Address - Country:US
Mailing Address - Phone:253-389-1089
Mailing Address - Fax:253-389-1089
Practice Address - Street 1:82840 OLD HWY 101
Practice Address - Street 2:
Practice Address - City:SPALDING
Practice Address - State:NE
Practice Address - Zip Code:68665-6221
Practice Address - Country:US
Practice Address - Phone:253-389-1089
Practice Address - Fax:253-389-1089
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-28
Last Update Date:2025-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency