Individual
MRS. MELINDA SUE HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
2005 ARLINGTON AVE, CALDWELL, ID 83605-4808
(208) 459-1025
(208) 459-1080
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 466-7869
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA641
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
807603100
—
ID
05
—
807603101
—
ID
05
—
807603102
—
ID
05
—
807603103
—
ID
05
—
807603104
—
ID
05
—
807603105
—
ID
Enumeration date
10/12/2006
Last updated
07/09/2007
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