Healthcare Provider Details

I. General information

NPI: 1750526075
Provider Name (Legal Business Name): REBECCA D HUGHES F.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/16/2008
Last Update Date: 05/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2602 FRANKLIN RD SW
ROANOKE VA
24014-1010
US

IV. Provider business mailing address

PO BOX 2281
ROANOKE VA
24009-2281
US

V. Phone/Fax

Practice location:
  • Phone: 540-344-1400
  • Fax: 540-344-7133
Mailing address:
  • Phone: 540-344-1400
  • Fax: 540-344-7133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number0024165661
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: