Healthcare Provider Details
I. General information
NPI: 1861826570
Provider Name (Legal Business Name): NANCY LOUISE HUGHES RN, BSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/29/2013
Last Update Date: 08/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1751 E LONG ST
COLUMBUS OH
43203-2045
US
IV. Provider business mailing address
8244 LONE TREE DR
POWELL OH
43065-8854
US
V. Phone/Fax
- Phone: 614-253-8050
- Fax: 614-253-8066
- Phone: 614-357-3472
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 163WP0807X |
| Taxonomy | Child & Adolescent Psychiatric/Mental Health Registered Nurse |
| License Number | 129544 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: