MEDICARE: TANYA HUGHES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	11027634	FL

General Provider Information

NPI Number	:	1154001543
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANYA HUGHES

Provider Business Mailing Address
First Line	:	3021 FOUR OAKS BLVD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32311-3369
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2507 CALLAWAY RD
Second Line	:
City	:	TALLAHASSEE
State	:	FL
Zip	:	32303-5267
Country	:	US
Telephone Number	:	850-644-6543
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/20/2023
Last Update Date	:	03/12/2024

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Directions to “ TANYA HUGHES ” Practice Location

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