Individual
MRS. BRENDA GAIL HUGHES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
14507 WOODWARD AVE, HIGHLAND PARK, MI 48203-2905
(313) 723-6100
(137) 518-1023
Mailing address
PO BOX 746723, ATLANTA, GA 30374-6723
(312) 733-9730
(773) 866-8014
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
4704197219
MI
Other
Enumeration date
12/19/2012
Last updated
11/02/2021
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