Provider Demographics
NPI:1699289967
Name:CODY-HUGHES, VERONICA STACIA (ICCE, SBD)
Entity type:Individual
Prefix:MRS
First Name:VERONICA
Middle Name:STACIA
Last Name:CODY-HUGHES
Suffix:
Gender:F
Credentials:ICCE, SBD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4914 219TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:SPANAWAY
Mailing Address - State:WA
Mailing Address - Zip Code:98387-6061
Mailing Address - Country:US
Mailing Address - Phone:253-365-8913
Mailing Address - Fax:
Practice Address - Street 1:4914 219TH STREET CT E
Practice Address - Street 2:
Practice Address - City:SPANAWAY
Practice Address - State:WA
Practice Address - Zip Code:98387-6061
Practice Address - Country:US
Practice Address - Phone:253-365-8913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-25
Last Update Date:2017-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula