Provider Demographics
NPI:1336424365
Name:HUGHES, DARLENE ANN I
Entity Type:Individual
Prefix:MRS
First Name:DARLENE
Middle Name:ANN
Last Name:HUGHES
Suffix:I
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:DARLENE
Other - Middle Name:ANN
Other - Last Name:HOGAN
Other - Suffix:I
Other - Last Name Type:Other Name
Other - Credentials:LPN
Mailing Address - Street 1:184 PEARL ST
Mailing Address - Street 2:
Mailing Address - City:CROWN POINT
Mailing Address - State:NY
Mailing Address - Zip Code:12928-2130
Mailing Address - Country:US
Mailing Address - Phone:518-597-3144
Mailing Address - Fax:
Practice Address - Street 1:184 PEARL ST
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:NY
Practice Address - Zip Code:12928-2130
Practice Address - Country:US
Practice Address - Phone:518-597-3144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY148345-1164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse