=====================================================
General NPI Number Information
=====================================================
NPI Number | 1346967254
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HUE MEDICAL, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/21/2022
-----------------------------------------------------
Last Update Date | 07/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1068 LAKE ST S
-----------------------------------------------------
City | FOREST LAKE
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55025-2639
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 651-982-4792
-----------------------------------------------------
Fax | 651-982-6035
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3776 112TH LN NE
-----------------------------------------------------
City | BLAINE
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 55449-6620
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 407-810-9007
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CNP, OWNER
-----------------------------------------------------
Name | ANGELICA MARIA PINEIRO
-----------------------------------------------------
Credential | CNP
-----------------------------------------------------
Telephone | 407-810-9007
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363LF0000X
-----------------------------------------------------
Taxonomy Name | Family Nurse Practitioner
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------