Provider Demographics
NPI:1528696390
Name:HUGHES, KANDI HOLLAND (CNP)
Entity type:Individual
Prefix:
First Name:KANDI
Middle Name:HOLLAND
Last Name:HUGHES
Suffix:
Gender:F
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6275 UPPER ALBANY CROSSING DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43081-7568
Mailing Address - Country:US
Mailing Address - Phone:614-204-5322
Mailing Address - Fax:
Practice Address - Street 1:6275 UPPER ALBANY CROSSING DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-7568
Practice Address - Country:US
Practice Address - Phone:614-204-5322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-29
Last Update Date:2020-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH026572363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily