Provider Demographics
NPI:1861238552
Name:HUGHES, ADRIENNE FAITH (PA-C)
Entity type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:FAITH
Last Name:HUGHES
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20656 RIVER LIFFEY TER
Mailing Address - Street 2:
Mailing Address - City:STERLING
Mailing Address - State:VA
Mailing Address - Zip Code:20166-2527
Mailing Address - Country:US
Mailing Address - Phone:304-982-1094
Mailing Address - Fax:
Practice Address - Street 1:8525 ROLLING RD STE 200
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20110-3648
Practice Address - Country:US
Practice Address - Phone:703-257-2263
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-02
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0110010131363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant