Provider Demographics
NPI:1558956425
Name:HUGUS, ALLISON KATHLEEN (APRN)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:KATHLEEN
Last Name:HUGUS
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:KATHLEEN
Other - Last Name:MCDONALD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1329 N 7TH AVE E
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1155
Mailing Address - Country:US
Mailing Address - Phone:715-551-9170
Mailing Address - Fax:
Practice Address - Street 1:1329 N 7TH AVE E
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55805-1155
Practice Address - Country:US
Practice Address - Phone:715-551-9170
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-03
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT173138363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner