Provider Demographics
NPI:1386858454
Name:HUGHES, NEIKO DENISE
Entity Type:Individual
Prefix:MISS
First Name:NEIKO
Middle Name:DENISE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 GARDEN RD
Mailing Address - Street 2:SUITE G-120
Mailing Address - City:MAUMEE
Mailing Address - State:OH
Mailing Address - Zip Code:43537-1533
Mailing Address - Country:US
Mailing Address - Phone:419-917-5392
Mailing Address - Fax:
Practice Address - Street 1:6201 GARDEN RD
Practice Address - Street 2:SUITE G-120
Practice Address - City:MAUMEE
Practice Address - State:OH
Practice Address - Zip Code:43537-1533
Practice Address - Country:US
Practice Address - Phone:419-917-5392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH501108290506374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2720309Medicaid