Provider Demographics
NPI:1003044587
Name:HUGES-ALLEN, CAMELLIA DENISE (RN)
Entity Type:Individual
Prefix:MS
First Name:CAMELLIA
Middle Name:DENISE
Last Name:HUGES-ALLEN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25140 LAHSER RD
Mailing Address - Street 2:SUITE 232
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-2753
Mailing Address - Country:US
Mailing Address - Phone:248-208-0553
Mailing Address - Fax:248-208-0558
Practice Address - Street 1:25140 LAHSER RD
Practice Address - Street 2:SUITE 232
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2753
Practice Address - Country:US
Practice Address - Phone:248-208-0553
Practice Address - Fax:248-208-0558
Is Sole Proprietor?:No
Enumeration Date:2009-06-23
Last Update Date:2009-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704210542163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse