Provider Demographics
NPI:1083726640
Name:HUGUES, DONNA (RD)
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:
Last Name:HUGUES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 CLERMONT RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3945
Mailing Address - Country:US
Mailing Address - Phone:302-761-9702
Mailing Address - Fax:302-762-1135
Practice Address - Street 1:4 CLERMONT RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3945
Practice Address - Country:US
Practice Address - Phone:302-761-9702
Practice Address - Fax:302-762-1135
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0000162133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE491579Medicare ID - Type UnspecifiedMEDICAL NUTRITION THERAPY