Provider Demographics
NPI:1427377282
Name:HUGHES, BONNIE KATE (ARNP)
Entity Type:Individual
Prefix:
First Name:BONNIE
Middle Name:KATE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:900 N PORTER
Mailing Address - Street 2:SUITE 208A
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73071-6425
Mailing Address - Country:US
Mailing Address - Phone:405-579-1444
Mailing Address - Fax:405-579-1448
Practice Address - Street 1:900 N PORTER
Practice Address - Street 2:SUITE 208A
Practice Address - City:NORMAN
Practice Address - State:OK
Practice Address - Zip Code:73071-6425
Practice Address - Country:US
Practice Address - Phone:405-579-1444
Practice Address - Fax:405-579-1448
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-19
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK52870363LN0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LN0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerNeonatal