Provider Demographics
NPI:1760949275
Name:HUGHES, MELANIE RAE (FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:RAE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 WHITESBURG DR SW STE 100
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1680
Mailing Address - Country:US
Mailing Address - Phone:256-882-3605
Mailing Address - Fax:256-880-1272
Practice Address - Street 1:4704 WHITESBURG DR SW STE 100
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802
Practice Address - Country:US
Practice Address - Phone:256-882-3605
Practice Address - Fax:256-880-1272
Is Sole Proprietor?:No
Enumeration Date:2019-02-21
Last Update Date:2019-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2017036535363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily