Provider Demographics
NPI:1518859891
Name:HUGHES, PHAEDRA (NBC-HWC)
Entity type:Individual
Prefix:
First Name:PHAEDRA
Middle Name:
Last Name:HUGHES
Suffix:
Gender:F
Credentials:NBC-HWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:291 N HIDDEN TREE DR
Mailing Address - Street 2:
Mailing Address - City:SAINT AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-5228
Mailing Address - Country:US
Mailing Address - Phone:904-525-4050
Mailing Address - Fax:
Practice Address - Street 1:291 N HIDDEN TREE DR
Practice Address - Street 2:
Practice Address - City:SAINT AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-5228
Practice Address - Country:US
Practice Address - Phone:904-525-4050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-19
Last Update Date:2025-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171400000XOther Service ProvidersHealth & Wellness Coach