Provider Demographics
NPI:1104061233
Name:HUGHES, KAREN ELIZABETH (RN--MS)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:ELIZABETH
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RN--MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:389 MAIN ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-5017
Mailing Address - Country:US
Mailing Address - Phone:781-322-9100
Mailing Address - Fax:781-388-1817
Practice Address - Street 1:389 MAIN ST
Practice Address - Street 2:SUITE 303
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-5017
Practice Address - Country:US
Practice Address - Phone:781-322-9100
Practice Address - Fax:781-388-1817
Is Sole Proprietor?:No
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MARN244445101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health