Provider Demographics
NPI:1417945023
Name:HUGHES, MELANIE CORBETT (NP NURSE PRACTITIONE)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:CORBETT
Last Name:HUGHES
Suffix:
Gender:F
Credentials:NP NURSE PRACTITIONE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 W 600 N
Mailing Address - Street 2:
Mailing Address - City:TREMONTON
Mailing Address - State:UT
Mailing Address - Zip Code:84337-2400
Mailing Address - Country:US
Mailing Address - Phone:435-257-4466
Mailing Address - Fax:435-257-4458
Practice Address - Street 1:420 W 600 N
Practice Address - Street 2:
Practice Address - City:TREMONTON
Practice Address - State:UT
Practice Address - Zip Code:84337-2400
Practice Address - Country:US
Practice Address - Phone:435-257-4466
Practice Address - Fax:435-257-4458
Is Sole Proprietor?:No
Enumeration Date:2005-10-07
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT1995874409363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
UTF0605218OtherCERTIFICATION NUMBER
UTMH1283390OtherDEA
UTF0605218OtherCERTIFICATION NUMBER