Healthcare Provider Details

I. General information

NPI: 1912712852
Provider Name (Legal Business Name): MEGHAN HUGHES RN, MSN, DNP, AGNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

66 S VAN GORDON ST UNIT 448
LAKEWOOD CO
80228-1760
US

IV. Provider business mailing address

66 S VAN GORDON ST UNIT 448
LAKEWOOD CO
80228-1760
US

V. Phone/Fax

Practice location:
  • Phone: 678-451-6410
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License Number1000342
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number1000342
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number2380629
License Number StateMA
# 4
Primary TaxonomyN
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number1000342
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code163WG0000X
TaxonomyGeneral Practice Registered Nurse
License Number1700219
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: