Healthcare Provider Details

I. General information

NPI: 1801365598
Provider Name (Legal Business Name): ANDREW RAY HUGHES FNP-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/26/2018
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1725 N 5TH ST
TERRE HAUTE IN
47804-4010
US

IV. Provider business mailing address

768 N US HIGHWAY 41
ROCKVILLE IN
47872-7091
US

V. Phone/Fax

Practice location:
  • Phone: 317-620-0232
  • Fax:
Mailing address:
  • Phone: 800-604-2117
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number71008844A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163WX0800X
TaxonomyOrthopedic Registered Nurse
License Number28177212A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: