Provider Demographics
NPI:1750518551
Name:HUGHES, DAWN MARTINA (RN, MSN)
Entity type:Individual
Prefix:
First Name:DAWN
Middle Name:MARTINA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RN, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43823 FREER WAY
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93536-1713
Mailing Address - Country:US
Mailing Address - Phone:661-949-5320
Mailing Address - Fax:661-951-4519
Practice Address - Street 1:43823 FREER WAY
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93536-1713
Practice Address - Country:US
Practice Address - Phone:661-949-5320
Practice Address - Fax:661-951-4519
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-18
Last Update Date:2009-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA689524364SP2800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364SP2800XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse SpecialistPerioperative