Provider Demographics
NPI:1285327684
Name:HUGHES, MICHAELA A
Entity type:Individual
Prefix:
First Name:MICHAELA
Middle Name:A
Last Name:HUGHES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 GOLDEN EYE WAY
Mailing Address - Street 2:
Mailing Address - City:SUISUN CITY
Mailing Address - State:CA
Mailing Address - Zip Code:94585-2030
Mailing Address - Country:US
Mailing Address - Phone:707-341-0855
Mailing Address - Fax:
Practice Address - Street 1:702 GOLDEN EYE WAY
Practice Address - Street 2:
Practice Address - City:SUISUN CITY
Practice Address - State:CA
Practice Address - Zip Code:94585-2030
Practice Address - Country:US
Practice Address - Phone:707-341-0855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-31
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula