Provider Demographics
NPI:1518762202
Name:HUGHES, LAURA FERNANDA
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:FERNANDA
Last Name:HUGHES
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 PIPPIN PL NE
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-9158
Mailing Address - Country:US
Mailing Address - Phone:706-266-5096
Mailing Address - Fax:
Practice Address - Street 1:11 PIPPIN PL NE
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-9158
Practice Address - Country:US
Practice Address - Phone:706-266-5096
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA260494163WC0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0200XNursing Service ProvidersRegistered NurseCritical Care Medicine