Provider Demographics
NPI:1770319220
Name:HUGHES, STEPHANY MARIE
Entity type:Individual
Prefix:
First Name:STEPHANY
Middle Name:MARIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7283 STEER BLADE DR
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-9161
Mailing Address - Country:US
Mailing Address - Phone:951-546-6100
Mailing Address - Fax:
Practice Address - Street 1:7283 STEER BLADE DR
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-9161
Practice Address - Country:US
Practice Address - Phone:951-546-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-11
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider