=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346490141
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | GABRIELE HUGHES MS, PCNS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/29/2008
-----------------------------------------------------
Last Update Date | 10/06/2008
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1130 TEN ROD RD BUILDING F SUITE 203
-----------------------------------------------------
City | NORTH KINGSTOWN
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02852-4161
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-294-3412
-----------------------------------------------------
Fax | 401-294-2643
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1130 TEN ROD RD BUILDING F SUITE 203
-----------------------------------------------------
City | NORTH KINGSTOWN
-----------------------------------------------------
State | RI
-----------------------------------------------------
Zip | 02852-4161
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 401-294-3412
-----------------------------------------------------
Fax | 401-294-2643
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CLINICAL DIRECTOR
-----------------------------------------------------
Name | MS. GABRIELE HUGHES
-----------------------------------------------------
Credential | MS, PCNS
-----------------------------------------------------
Telephone | 401-294-3412
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WP0809X
-----------------------------------------------------
Taxonomy Name | Adult Psychiatric/Mental Health Registered Nurse
-----------------------------------------------------
License Number | 34006
-----------------------------------------------------
License Number State | RI
-----------------------------------------------------