Basic Information
Provider Information
NPI: 1164523049
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUGHES
FirstName: PATRICIA
MiddleName: A
NamePrefix: MS.
NameSuffix:  
Credential: NP GNP DNP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8950 E LOWRY BLVD
Address2:  
City: DENVER
State: CO
PostalCode: 80230
CountryCode: US
TelephoneNumber: 3033998020
FaxNumber:  
Practice Location
Address1: 8405 W ALAMEDA AVE
Address2:  
City: LAKEWOOD
State: CO
PostalCode: 80226
CountryCode: US
TelephoneNumber: 7209744943
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/26/2006
LastUpdateDate: 08/30/2018
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X65699COY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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