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NPI Code Detail

MEDICARE: MS. JOAN M MCHUGH

MEDICARE: MS. JOAN M MCHUGH
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
1363L00000XNurse PractitionerAPRN02299RI
2363L00000XNurse Practitioner149489MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2NP3362OTHERMABCBS #

General Provider Information

NPI Number : 1366524696
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOAN M MCHUGH
Provider Business Mailing Address
First Line : 117 ELLENFIELD ST STE 101
Second Line :
City : PROVIDENCE
State : RI
Zip : 02905-4541
Country : US
Telephone Number : 401-444-6779
Fax Number : 401-444-6912
Provider Business Practice Location Address
First Line : 1360 W MAIN RD
Second Line :
City : MIDDLETOWN
State : RI
Zip : 02842-6301
Country : US
Telephone Number : 14-606-3110
Fax Number : 508-764-5458
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 04/14/2020

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