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NPI Code Detail

MEDICARE: MRS. MELINDA SUE HUGHES P.A.-C

MEDICARE: MRS. MELINDA SUE HUGHES P.A.-C
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
1363AM0700XMedical Physician AssistantPA641ID

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477642916
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MELINDA SUE HUGHES P.A.-C
Provider Business Mailing Address
First Line : PO BOX 9
Second Line :
City : NAMPA
State : ID
Zip : 83653-0009
Country : US
Telephone Number : 208-466-7869
Fax Number : 208-466-5359
Provider Business Practice Location Address
First Line : 2005 ARLINGTON AVE
Second Line :
City : CALDWELL
State : ID
Zip : 83605-4808
Country : US
Telephone Number : 208-459-1025
Fax Number : 208-459-1080
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 07/09/2007

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