Provider Demographics
NPI:1770793572
Name:HUGHES, PAULA FABIAN (RN)
Entity type:Individual
Prefix:
First Name:PAULA
Middle Name:FABIAN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:197 BLUE HERON CV
Mailing Address - Street 2:
Mailing Address - City:WAVELAND
Mailing Address - State:MS
Mailing Address - Zip Code:39576-4342
Mailing Address - Country:US
Mailing Address - Phone:228-467-1412
Mailing Address - Fax:228-467-1412
Practice Address - Street 1:197 BLUE HERON CV
Practice Address - Street 2:
Practice Address - City:WAVELAND
Practice Address - State:MS
Practice Address - Zip Code:39576-4342
Practice Address - Country:US
Practice Address - Phone:228-467-1412
Practice Address - Fax:228-467-1412
Is Sole Proprietor?:No
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MSR872136163W00000X
CTR28729163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered163W00000XNursing Service ProvidersRegistered Nurse
Not Answered163WA2000XNursing Service ProvidersRegistered NurseAdministrator