Healthcare Provider Details

I. General information

NPI: 1427377282
Provider Name (Legal Business Name): BONNIE KATE HUGHES ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/19/2010
Last Update Date: 09/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N PORTER SUITE 208A
NORMAN OK
73071-6425
US

IV. Provider business mailing address

900 N PORTER SUITE 208A
NORMAN OK
73071-6425
US

V. Phone/Fax

Practice location:
  • Phone: 405-579-1444
  • Fax: 405-579-1448
Mailing address:
  • Phone: 405-579-1444
  • Fax: 405-579-1448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LN0000X
TaxonomyNeonatal Nurse Practitioner
License Number52870
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: