Provider Demographics
NPI:1093088429
Name:HUGHES, CAREN LEE (RN)
Entity Type:Individual
Prefix:MRS
First Name:CAREN
Middle Name:LEE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:CAREN
Other - Middle Name:M
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:93 BARKER RD
Mailing Address - Street 2:
Mailing Address - City:CENTRAL SQUARE
Mailing Address - State:NY
Mailing Address - Zip Code:13036-3460
Mailing Address - Country:US
Mailing Address - Phone:316-668-4253
Mailing Address - Fax:315-668-4299
Practice Address - Street 1:93 BARKER RD
Practice Address - Street 2:
Practice Address - City:CENTRAL SQUARE
Practice Address - State:NY
Practice Address - Zip Code:13036-3460
Practice Address - Country:US
Practice Address - Phone:316-668-4253
Practice Address - Fax:315-668-4299
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY204881-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse