Provider Demographics
NPI:1265104798
Name:HUGHES, ELLEN MARIE (NP)
Entity type:Individual
Prefix:
First Name:ELLEN
Middle Name:MARIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12303 E ARIZONA DR
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80012
Mailing Address - Country:US
Mailing Address - Phone:970-216-6794
Mailing Address - Fax:
Practice Address - Street 1:1658 COLE BLVD STE 210
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80401-3304
Practice Address - Country:US
Practice Address - Phone:303-747-5051
Practice Address - Fax:724-204-1648
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-03
Last Update Date:2022-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1645857163WP0808X
CO0998105363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health