MEDICARE: DIONNE HUGIE NP, RN

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	163W00000X	Registered Nurse	625361	NY
2	363LF0000X	Family Nurse Practitioner	341709-1	NY

General Provider Information

NPI Number	:	1568764058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DIONNE HUGIE NP, RN

Provider Business Mailing Address
First Line	:	4046 EDSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2244
Country	:	US
Telephone Number	:	347-275-3570
Fax Number	:

Provider Business Practice Location Address
First Line	:	4046 EDSON AVE
Second Line	:
City	:	BRONX
State	:	NY
Zip	:	10466-2244
Country	:	US
Telephone Number	:	347-275-3570
Fax Number	:

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

Provider Enumeration Date	:	12/03/2010
Last Update Date	:	07/21/2022

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