1699738344 NPI number — SHEILA R HUGHES CRNP

Table of content: SHEILA R HUGHES CRNP (NPI 1699738344)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1699738344 NPI number — SHEILA R HUGHES CRNP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HUGHES
Provider First Name:
SHEILA
Provider Middle Name:
R
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
CRNP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1699738344
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
105 FLORENCE DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW STANTON
Provider Business Mailing Address State Name:
PA
Provider Business Mailing Address Postal Code:
15672-9761
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
724-925-1440
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
12279 ROUTE 30
Provider Second Line Business Practice Location Address:
NORWIN FAMILY MEDICINE
Provider Business Practice Location Address City Name:
N.HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15642
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-864-7101
Provider Business Practice Location Address Fax Number:
724-864-7160
Provider Enumeration Date:
04/11/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363L00000X , with the licence number:  SP005362B , registered in the state of PA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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