Provider Demographics
NPI:1407604614
Name:HUGHES, VICTORIA ANNE
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANNE
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 1:670 KITRINA AVE
Mailing Address - Street 2:
Mailing Address - City:TIPP CITY
Mailing Address - State:OH
Mailing Address - Zip Code:45371-2609
Mailing Address - Country:US
Mailing Address - Phone:937-573-9595
Mailing Address - Fax:
Practice Address - Street 1:670 KITRINA AVE
Practice Address - Street 2:
Practice Address - City:TIPP CITY
Practice Address - State:OH
Practice Address - Zip Code:45371-2609
Practice Address - Country:US
Practice Address - Phone:937-573-9595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-11
Last Update Date:2024-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program