Provider Demographics
NPI:1780570309
Name:HUGHES, MAKAYLA MICHELLE
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:MICHELLE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84345 512 AVE
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:NE
Mailing Address - Zip Code:68636-2578
Mailing Address - Country:US
Mailing Address - Phone:402-929-0705
Mailing Address - Fax:
Practice Address - Street 1:402 W WALNUT AVE
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:NE
Practice Address - Zip Code:68701
Practice Address - Country:US
Practice Address - Phone:402-929-0705
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-18
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE3747P1801X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant