MEDICARE: VERNELL M HUGHES

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	172A00000X	Driver	H2208739508703	WI

General Provider Information

NPI Number	:	1447195920
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VERNELL M HUGHES

Provider Business Mailing Address
First Line	:	7057 W BECKETT AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2047
Country	:	US
Telephone Number	:	414-690-3731
Fax Number	:

Provider Business Practice Location Address
First Line	:	7057 W BECKETT AVE
Second Line	:
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2047
Country	:	US
Telephone Number	:	414-690-3731
Fax Number	:

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

Provider Enumeration Date	:	04/21/2026
Last Update Date	:	04/21/2026

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