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NPI Code Detail

MEDICARE: ASHLEY HUGHES

MEDICARE: ASHLEY 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
1363L00000XNurse Practitioner71008340AIN

General Provider Information

NPI Number : 1912486689
Entity Type Code : Individual
Provider Name (Legal Business Name) : ASHLEY HUGHES
Provider Business Mailing Address
First Line : 11109 PARKVIEW PLAZA DR # 117
Second Line :
City : FORT WAYNE
State : IN
Zip : 46845-1701
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8607 TEMPLE DR
Second Line :
City : FORT WAYNE
State : IN
Zip : 46809-3048
Country : US
Telephone Number : 260-478-9220
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2018
Last Update Date : 10/11/2022

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Directions to “ ASHLEY HUGHES ” Practice Location

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