Provider Demographics
NPI:1063827442
Name:HUGHES, MIRIAM DAWN (CNM, WHNP)
Entity type:Individual
Prefix:
First Name:MIRIAM
Middle Name:DAWN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:662 S HWY 89A
Mailing Address - Street 2:
Mailing Address - City:KANAB
Mailing Address - State:UT
Mailing Address - Zip Code:84741-3680
Mailing Address - Country:US
Mailing Address - Phone:719-695-0756
Mailing Address - Fax:
Practice Address - Street 1:662 S HWY 89A
Practice Address - Street 2:
Practice Address - City:KANAB
Practice Address - State:UT
Practice Address - Zip Code:84741-3680
Practice Address - Country:US
Practice Address - Phone:719-695-0756
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-24
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAPN.0991308363LW0102X
UTAPN.0991308-NP363LW0102X
WY51866367A00000X
COAPN.0991230-CNM367A00000X
UT12058336-4402367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LW0102XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerWomen's Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO402438YKRDOtherMEDICARE NUMBER
CO96658037Medicaid