Provider Demographics
NPI:1679040919
Name:VEGA, HUGO HERNANDO (RN, FNP)
Entity Type:Individual
Prefix:MR
First Name:HUGO
Middle Name:HERNANDO
Last Name:VEGA
Suffix:
Gender:M
Credentials:RN, FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BANK ST APT 214C
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10606-7005
Mailing Address - Country:US
Mailing Address - Phone:646-812-3672
Mailing Address - Fax:
Practice Address - Street 1:25 BANK ST APT 214C
Practice Address - Street 2:
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10606-7005
Practice Address - Country:US
Practice Address - Phone:646-812-3672
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-24
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY742300163WG0000X
NY353107170100000X, 363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No170100000XOther Service ProvidersMedical Genetics, Ph.D. Medical Genetics