MEDICARE: AMANDA HUGHES CPNP-PC, NNP-BC

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	208000000X	Pediatrics Physician	AP125356	TX
2	363LN0005X	Critical Care Neonatal Nurse Practitioner	734409	TX

General Provider Information

NPI Number	:	1912323106
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMANDA HUGHES CPNP-PC, NNP-BC

Provider Business Mailing Address
First Line	:	807 TRADEWINDS BLVD
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79706-3163
Country	:	US
Telephone Number	:	432-400-7586
Fax Number	:	432-389-7586

Provider Business Practice Location Address
First Line	:	807 TRADEWINDS BLVD
Second Line	:
City	:	MIDLAND
State	:	TX
Zip	:	79706-3163
Country	:	US
Telephone Number	:	432-400-7586
Fax Number	:	432-389-7586

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

Provider Enumeration Date	:	03/11/2014
Last Update Date	:	01/18/2026

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