Healthcare Provider Details

I. General information

NPI: 1669701215
Provider Name (Legal Business Name): NICOLE HUGHES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: NICOLE DEVRIES NP

II. Dates (important events)

Enumeration Date: 12/10/2009
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3848 FAU BLVD
BOCA RATON FL
33431-6437
US

IV. Provider business mailing address

3848 FAU BLVD
BOCA RATON FL
33431-6437
US

V. Phone/Fax

Practice location:
  • Phone: 305-243-3100
  • Fax: 561-393-7312
Mailing address:
  • Phone: 561-393-7312
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP9407080
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code163WN0800X
TaxonomyNeuroscience Registered Nurse
License NumberR192660-4
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: