Provider Demographics
NPI:1588116172
Name:HUGHES, CASEY ORALIA (RN)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:ORALIA
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6208 ESPEE DR
Mailing Address - Street 2:
Mailing Address - City:FLAGSTAFF
Mailing Address - State:AZ
Mailing Address - Zip Code:86004-1269
Mailing Address - Country:US
Mailing Address - Phone:928-707-1121
Mailing Address - Fax:928-773-1354
Practice Address - Street 1:6208 ESPEE DR
Practice Address - Street 2:
Practice Address - City:FLAGSTAFF
Practice Address - State:AZ
Practice Address - Zip Code:86004-1269
Practice Address - Country:US
Practice Address - Phone:928-707-1121
Practice Address - Fax:928-773-1354
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-28
Last Update Date:2016-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN148159163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse