Provider Demographics
NPI:1023025343
Name:HUGHES, BRITTNEY GRACE (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:BRITTNEY
Middle Name:GRACE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:MISS
Other - First Name:BRITTNEY
Other - Middle Name:GRACE
Other - Last Name:DEFELICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:360 GREEN ASPEN CT
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1871
Mailing Address - Country:US
Mailing Address - Phone:410-874-7395
Mailing Address - Fax:443-393-0215
Practice Address - Street 1:6518 MEADOWRIDGE RD
Practice Address - Street 2:SUITE 106
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6403
Practice Address - Country:US
Practice Address - Phone:443-393-0223
Practice Address - Fax:443-393-0215
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC0003324363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical