Provider Demographics
NPI:1104101856
Name:HUGHES, MONICA (CRNP)
Entity type:Individual
Prefix:MRS
First Name:MONICA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8601 VETERANS HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1566
Mailing Address - Country:US
Mailing Address - Phone:410-729-0690
Mailing Address - Fax:410-729-4057
Practice Address - Street 1:8601 VETERANS HWY STE 200
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1566
Practice Address - Country:US
Practice Address - Phone:410-729-0690
Practice Address - Fax:410-729-4057
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-13
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDN32087208000000X
DELJ-0000339363LP0200X, 363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics