Provider Demographics
NPI:1316900616
Name:PAINE-HUGHES, LINDA (C FNP)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:
Last Name:PAINE-HUGHES
Suffix:
Gender:F
Credentials:C FNP
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:PHILLIPS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9401 WORTENDYKE RD
Mailing Address - Street 2:
Mailing Address - City:BATAVIA
Mailing Address - State:NY
Mailing Address - Zip Code:14020
Mailing Address - Country:US
Mailing Address - Phone:585-344-1263
Mailing Address - Fax:
Practice Address - Street 1:41 MAIN ST
Practice Address - Street 2:
Practice Address - City:OAKFIELD
Practice Address - State:NY
Practice Address - Zip Code:14125-1014
Practice Address - Country:US
Practice Address - Phone:585-948-8077
Practice Address - Fax:585-948-9159
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYF3317611363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYPD19380418OtherBLUE CHOICE
NY00026528801OtherUNIVERA
NY000560314001OtherBCBS WNY
NY9511888OtherINDEPENDENT HEALTH
NYNP0081OtherPREFERRED CARE
NY01866100Medicaid
NY000560314001OtherBCBS WNY