Provider Demographics
NPI:1720503766
Name:HUGHES, AMBER ROSE (APRN)
Entity Type:Individual
Prefix:
First Name:AMBER
Middle Name:ROSE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3603 WENDELL DR
Mailing Address - Street 2:
Mailing Address - City:HASTINGS
Mailing Address - State:NE
Mailing Address - Zip Code:68901-2598
Mailing Address - Country:US
Mailing Address - Phone:402-902-0868
Mailing Address - Fax:833-799-3677
Practice Address - Street 1:2727 W 2ND ST STE 223
Practice Address - Street 2:
Practice Address - City:HASTINGS
Practice Address - State:NE
Practice Address - Zip Code:68901-4684
Practice Address - Country:US
Practice Address - Phone:402-902-0868
Practice Address - Fax:833-799-3677
Is Sole Proprietor?:No
Enumeration Date:2017-08-10
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE112311363LA2100X, 363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care