Provider Demographics
NPI:1255636346
Name:HUGHES, AMY MARIE (RD, LD/N)
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:MARIE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RD, LD/N
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 W MORENO ST
Mailing Address - Street 2:BAPTIST HOSPITAL FOOD AND NUTRITION SERVICES
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32501-2316
Mailing Address - Country:US
Mailing Address - Phone:859-469-5004
Mailing Address - Fax:850-469-5877
Practice Address - Street 1:1000 W MORENO ST
Practice Address - Street 2:BAPTIST HOSPITAL FOOD AND NUTRITION SERVICES
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32501-2316
Practice Address - Country:US
Practice Address - Phone:859-469-5004
Practice Address - Fax:850-469-5877
Is Sole Proprietor?:No
Enumeration Date:2011-01-20
Last Update Date:2011-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLND 0001324133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered