Provider Demographics
NPI:1881785251
Name:HUGHES, BRIDGET Y (FNP)
Entity type:Individual
Prefix:
First Name:BRIDGET
Middle Name:Y
Last Name:HUGHES
Suffix:
Gender:F
Credentials:FNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 869
Mailing Address - Street 2:
Mailing Address - City:TIMPSON
Mailing Address - State:TX
Mailing Address - Zip Code:75975-0869
Mailing Address - Country:US
Mailing Address - Phone:936-254-3338
Mailing Address - Fax:936-257-3339
Practice Address - Street 1:233 HURST ST
Practice Address - Street 2:
Practice Address - City:CENTER
Practice Address - State:TX
Practice Address - Zip Code:75935-4321
Practice Address - Country:US
Practice Address - Phone:936-598-3832
Practice Address - Fax:936-560-4190
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2016-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX595228363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
341049Medicare PIN