Provider Demographics
NPI:1942649660
Name:HUGHES, BETH LYNN (RN)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:LYNN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:235 MCADAMS SCHOOL RD
Mailing Address - Street 2:
Mailing Address - City:HONEA PATH
Mailing Address - State:SC
Mailing Address - Zip Code:29654-9591
Mailing Address - Country:US
Mailing Address - Phone:864-369-7951
Mailing Address - Fax:
Practice Address - Street 1:335 W FRONT ST
Practice Address - Street 2:
Practice Address - City:IVA
Practice Address - State:SC
Practice Address - Zip Code:29655-8702
Practice Address - Country:US
Practice Address - Phone:864-348-6196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-15
Last Update Date:2013-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC41589163W00000X, 163WS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
No163WS0200XNursing Service ProvidersRegistered NurseSchool