Provider Demographics
NPI:1992781967
Name:HUGHES, PATRICIA LYNN (CRNA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:LYNN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10392 OLD DAIRY LN
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32534-1318
Mailing Address - Country:US
Mailing Address - Phone:850-484-2833
Mailing Address - Fax:850-478-9779
Practice Address - Street 1:6002 BERRYHILL RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:FL
Practice Address - Zip Code:32570-5062
Practice Address - Country:US
Practice Address - Phone:850-626-5013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP2030112367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL59155697OtherBLUE CROSS BLUE SHIELD
FL430069928OtherMEDICARE RAILROAD
AL009976510Medicaid
FL304300200Medicaid
FLG1422OtherBLUE CROSS BLUE SHIELD
FL430069928OtherMEDICARE RAILROAD