Individual
TARA LYNNE HUGHES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1201 MICHIGAN AVE STE 270, LOGANSPORT, IN 46947-1530
(574) 722-4921
(574) 739-0520
Mailing address
1201 MICHIGAN AVE STE 270, LOGANSPORT, IN 46947-1530
(574) 722-4921
(574) 739-0520
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71001977
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200816280
—
IN
Enumeration date
10/24/2006
Last updated
06/14/2011
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