Provider Demographics
NPI:1265813273
Name:HUGHES, AREATHA (FNP)
Entity type:Individual
Prefix:
First Name:AREATHA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 ZEID BLVD
Mailing Address - Street 2:STE A
Mailing Address - City:HENDERSON
Mailing Address - State:TX
Mailing Address - Zip Code:75652-6069
Mailing Address - Country:US
Mailing Address - Phone:318-294-8519
Mailing Address - Fax:318-675-4647
Practice Address - Street 1:5565 ASBURY LN
Practice Address - Street 2:
Practice Address - City:SHREVEPORT
Practice Address - State:LA
Practice Address - Zip Code:71129-2712
Practice Address - Country:US
Practice Address - Phone:318-294-8519
Practice Address - Fax:318-675-4647
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-16
Last Update Date:2016-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAAP08287363LF0000X
TXAP128241363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily