MEDICARE: ANGELA KATHRYN HUGHES FNP

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
1	363LF0000X	Family Nurse Practitioner	NP805A	ID

General Provider Information

NPI Number	:	1336193598
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA KATHRYN HUGHES FNP

Provider Business Mailing Address
First Line	:	270 W GEORGIA AVE STE 110
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-2835
Country	:	US
Telephone Number	:	208-615-5515
Fax Number	:	208-561-9956

Provider Business Practice Location Address
First Line	:	270 W GEORGIA AVE STE 110
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-2835
Country	:	US
Telephone Number	:	208-615-5515
Fax Number	:	208-561-9956

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/20/2006
Last Update Date	:	08/04/2022

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