Basic Information
Provider Information
NPI: 1316179856
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: HUGHES
FirstName: VERONICA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: NP
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 9007
Address2:  
City: CHARLOTTESVILLE
State: VA
PostalCode: 229069007
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 415 RAY C. HUNT DRIVE
Address2: 2ND FLOOR
City: CHARLOTTESVILLE
State: VA
PostalCode: 229030001
CountryCode: US
TelephoneNumber: 4342430223
FaxNumber: 4349249616
Other Information
ProviderEnumerationDate: 08/18/2009
LastUpdateDate: 01/04/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LA2200X0017139099VAN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health
363LA2200X0024167615VAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAdult Health

No ID Information.


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