Provider Demographics
NPI:1699738344
Name:HUGHES, SHEILA R (CRNP)
Entity type:Individual
Prefix:
First Name:SHEILA
Middle Name:R
Last Name:HUGHES
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 FLORENCE DR
Mailing Address - Street 2:
Mailing Address - City:NEW STANTON
Mailing Address - State:PA
Mailing Address - Zip Code:15672-9761
Mailing Address - Country:US
Mailing Address - Phone:724-925-1440
Mailing Address - Fax:
Practice Address - Street 1:12279 ROUTE 30
Practice Address - Street 2:NORWIN FAMILY MEDICINE
Practice Address - City:N.HUNTINGDON
Practice Address - State:PA
Practice Address - Zip Code:15642
Practice Address - Country:US
Practice Address - Phone:724-864-7101
Practice Address - Fax:724-864-7160
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP005362B363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAS67602Medicare UPIN
PA021595KDCMedicare ID - Type Unspecified