Provider Demographics
NPI:1821604562
Name:HUGHES, WENDY LYNNE (LPN)
Entity Type:Individual
Prefix:
First Name:WENDY
Middle Name:LYNNE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:WENDY
Other - Middle Name:LYNNE
Other - Last Name:THOMLEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPN
Mailing Address - Street 1:2931 ANDREA DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48906-2604
Mailing Address - Country:US
Mailing Address - Phone:517-371-1111
Mailing Address - Fax:
Practice Address - Street 1:2025 S WASHINGTON AVE SUITE 210 LANSING, MI 48910
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48910
Practice Address - Country:US
Practice Address - Phone:517-371-1111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-18
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4703078855164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse