Provider Demographics
NPI:1174349948
Name:HUGHES, SHEREE ANN (RD)
Entity type:Individual
Prefix:
First Name:SHEREE
Middle Name:ANN
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 252
Mailing Address - Street 2:
Mailing Address - City:WARRENSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28693
Mailing Address - Country:US
Mailing Address - Phone:703-727-6100
Mailing Address - Fax:
Practice Address - Street 1:748 HEAVENLY MOUNTAIN VIEW
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28693
Practice Address - Country:US
Practice Address - Phone:703-727-6100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-26
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV633133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty