Healthcare Provider Details

I. General information

NPI: 1942573670
Provider Name (Legal Business Name): DANNY RAY HUGHART FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2012
Last Update Date: 11/20/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2800 LINCOLN ST
OROVILLE CA
95966-5961
US

IV. Provider business mailing address

935 MARKET ST
YUBA CITY CA
95991-4217
US

V. Phone/Fax

Practice location:
  • Phone: 530-534-7500
  • Fax:
Mailing address:
  • Phone: 530-674-4267
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number21330
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: