Provider Demographics
NPI:1346490141
Name:GABRIELE HUGHES MS, PCNS, INC.
Entity Type:Organization
Organization Name:GABRIELE HUGHES MS, PCNS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:GABRIELE
Authorized Official - Middle Name:
Authorized Official - Last Name:HUGHES
Authorized Official - Suffix:
Authorized Official - Credentials:MS, PCNS
Authorized Official - Phone:401-294-3412
Mailing Address - Street 1:1130 TEN ROD RD
Mailing Address - Street 2:BUILDING F SUITE 203
Mailing Address - City:NORTH KINGSTOWN
Mailing Address - State:RI
Mailing Address - Zip Code:02852-4161
Mailing Address - Country:US
Mailing Address - Phone:401-294-3412
Mailing Address - Fax:401-294-2643
Practice Address - Street 1:1130 TEN ROD RD
Practice Address - Street 2:BUILDING F SUITE 203
Practice Address - City:NORTH KINGSTOWN
Practice Address - State:RI
Practice Address - Zip Code:02852-4161
Practice Address - Country:US
Practice Address - Phone:401-294-3412
Practice Address - Fax:401-294-2643
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-09-29
Last Update Date:2008-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI34006163WP0809X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0809XNursing Service ProvidersRegistered NursePsychiatric/Mental Health, AdultGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI007010078Medicare PIN