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NPI Code Detail

MEDICARE: SAMANTHA R. HUGHES FNP, RN

MEDICARE: SAMANTHA R. HUGHES FNP, RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LF0000XFamily Nurse Practitioner0024177975VA

General Provider Information

NPI Number : 1215578364
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAMANTHA R. HUGHES FNP, RN
Provider Business Mailing Address
First Line : 2246 GEORGE WASHINGTON MEMORIAL HWY
Second Line :
City : HAYES
State : VA
Zip : 23072-3559
Country : US
Telephone Number : 804-642-6171
Fax Number : 804-642-5656
Provider Business Practice Location Address
First Line : 209 VILLAGE AVE STE P
Second Line :
City : YORKTOWN
State : VA
Zip : 23693-5639
Country : US
Telephone Number : 757-316-5050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/30/2019
Last Update Date : 08/04/2025

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