Provider Demographics
NPI:1730456179
Name:HUGHES, HEIDI MARIE (FNP-C)
Entity type:Individual
Prefix:MS
First Name:HEIDI
Middle Name:MARIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:GAASCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:1011 ROCK QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27610-3825
Mailing Address - Country:US
Mailing Address - Phone:984-304-9503
Mailing Address - Fax:
Practice Address - Street 1:1011 ROCK QUARRY RD
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27610-3825
Practice Address - Country:US
Practice Address - Phone:984-304-9503
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-30
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY22501176163W00000X
NC5020563207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163W00000XNursing Service ProvidersRegistered Nurse
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty