Healthcare Provider Details

I. General information

NPI: 1982907994
Provider Name (Legal Business Name): NITA MARIE HUGHES CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/13/2010
Last Update Date: 12/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

322 AMHERST DR SE
ALBUQUERQUE NM
87106-1404
US

IV. Provider business mailing address

322 AMHERST DR SE
ALBUQUERQUE NM
87106-1404
US

V. Phone/Fax

Practice location:
  • Phone: 505-918-1035
  • Fax:
Mailing address:
  • Phone: 505-918-1035
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171W00000X
TaxonomyContractor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: