Provider Demographics
NPI:1942842075
Name:HUGHLEY, CASEY
Entity Type:Individual
Prefix:
First Name:CASEY
Middle Name:
Last Name:HUGHLEY
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 1:3020 NELSON PL SE APT 2
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20019-2155
Mailing Address - Country:US
Mailing Address - Phone:202-230-8511
Mailing Address - Fax:
Practice Address - Street 1:1400 FLORIDA AVE NE APT 403
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20002-5014
Practice Address - Country:US
Practice Address - Phone:202-230-8511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-09
Last Update Date:2019-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide