Provider Demographics
NPI:1205255148
Name:HUGHEY, DANIELLE M (APRN)
Entity type:Individual
Prefix:MRS
First Name:DANIELLE
Middle Name:M
Last Name:HUGHEY
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:MISS
Other - First Name:DANIELLE
Other - Middle Name:M
Other - Last Name:BRASKICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:8980 RIVERWOOD LN
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30506-7958
Mailing Address - Country:US
Mailing Address - Phone:678-231-8469
Mailing Address - Fax:
Practice Address - Street 1:2001 PROFESSIONAL WAY
Practice Address - Street 2:SUITE 220
Practice Address - City:WOODSTOCK
Practice Address - State:GA
Practice Address - Zip Code:30188-6442
Practice Address - Country:US
Practice Address - Phone:770-926-7411
Practice Address - Fax:770-926-0452
Is Sole Proprietor?:No
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN149583363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily