Provider Demographics
NPI:1215578364
Name:HUGHES, SAMANTHA R (FNP, RN)
Entity type:Individual
Prefix:
First Name:SAMANTHA
Middle Name:R
Last Name:HUGHES
Suffix:
Gender:F
Credentials:FNP, RN
Other - Prefix:
Other - First Name:SAMANTHA
Other - Middle Name:R
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2246 GEORGE WASHINGTON MEMORIAL HWY
Mailing Address - Street 2:
Mailing Address - City:HAYES
Mailing Address - State:VA
Mailing Address - Zip Code:23072-3559
Mailing Address - Country:US
Mailing Address - Phone:804-642-6171
Mailing Address - Fax:804-642-5656
Practice Address - Street 1:209 VILLAGE AVE STE P
Practice Address - Street 2:
Practice Address - City:YORKTOWN
Practice Address - State:VA
Practice Address - Zip Code:23693-5639
Practice Address - Country:US
Practice Address - Phone:757-316-5050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-30
Last Update Date:2025-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0024177975363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily