Individual
MR. BENJAMIN TODD HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
3300 GALLOWS RD, FALLS CHURCH, VA 22042-3307
(703) 776-3138
Mailing address
3100 SPRING FOREST RD, SUITE 130, RALEIGH, NC 27616-2880
(919) 882-0705
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001178829
VA
367500000X
Certified Registered Nurse Anesthetist
Primary
0024171460
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061252400
—
DC
05
—
1235575119
—
VA
05
—
422347100
—
MD
Enumeration date
05/17/2013
Last updated
06/10/2014
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