MEDICARE: MS. LINDA G. HUGHES NP

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	A-114344	IA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	151AC1083	OTHER	IA	IOWA DRIVERS LICENSE

General Provider Information

NPI Number	:	1790857134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LINDA G. HUGHES NP

Provider Business Mailing Address
First Line	:	PO BOX 1475
Second Line	:
City	:	DES MOINES
State	:	IA
Zip	:	50305-1475
Country	:	US
Telephone Number	:	515-262-1405
Fax Number	:

Provider Business Practice Location Address
First Line	:	12493 UNIVERSITY AVE
Second Line	:	STE 110
City	:	CLIVE
State	:	IA
Zip	:	50325-8286
Country	:	US
Telephone Number	:	515-358-9400
Fax Number	:	515-358-9420

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

Provider Enumeration Date	:	11/14/2006
Last Update Date	:	06/04/2012

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