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NPI Code Detail

MEDICARE: MS. ETTA MARIE HUGHES

MEDICARE: MS. ETTA MARIE 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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1922130103
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ETTA MARIE HUGHES
Provider Business Mailing Address
First Line : 1418 OAKRIDGE PARK RD
Second Line :
City : SANTA MARIA
State : CA
Zip : 93455-4558
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1255 KENDALL RD
Second Line :
City : SAN LUIS OBISPO
State : CA
Zip : 93401-8750
Country : US
Telephone Number : 805-458-2596
Fax Number : 805-541-9480
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 01/23/2026

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Directions to “ MS. ETTA MARIE HUGHES ” Practice Location

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