Provider Demographics
NPI:1831860931
Name:HUGHEY, MEGHAN NICOLE (NP)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:NICOLE
Last Name:HUGHEY
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1305 AIRPORT FWY STE 320
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:TX
Mailing Address - Zip Code:76021-1116
Mailing Address - Country:US
Mailing Address - Phone:817-684-3500
Mailing Address - Fax:
Practice Address - Street 1:1305 AIRPORT FWY STE 320
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:TX
Practice Address - Zip Code:76021-1116
Practice Address - Country:US
Practice Address - Phone:817-684-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-28
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1054313363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily