Provider Demographics
NPI:1871872275
Name:HUGHES, EVELYN KATHERINE (ARNP)
Entity type:Individual
Prefix:MRS
First Name:EVELYN
Middle Name:KATHERINE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:MRS
Other - First Name:EVELYN
Other - Middle Name:KATHERINE
Other - Last Name:DRAGON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:3100 S.W. 62 AVE
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33035-2600
Mailing Address - Country:US
Mailing Address - Phone:305-995-3993
Mailing Address - Fax:305-995-3537
Practice Address - Street 1:3100 SW 62ND AVE
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33155-3009
Practice Address - Country:US
Practice Address - Phone:305-995-3993
Practice Address - Fax:305-995-3537
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-16
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9186786363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics