MEDICARE: MS. JUDITH RITA HUGHES APN

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	F103	SC

General Provider Information

NPI Number	:	1366452427
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JUDITH RITA HUGHES APN

Provider Business Mailing Address
First Line	:	PO BOX 390
Second Line	:
City	:	HUNTINGTON
State	:	WV
Zip	:	25708-0390
Country	:	US
Telephone Number	:	304-429-1088
Fax Number	:	304-429-3109

Provider Business Practice Location Address
First Line	:	3471 BELLE TERRE BLVD STE A1
Second Line	:
City	:	MYRTLE BEACH
State	:	SC
Zip	:	29579
Country	:	US
Telephone Number	:	843-492-2790
Fax Number	:

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

Provider Enumeration Date	:	08/09/2006
Last Update Date	:	10/03/2018

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