Provider Demographics
NPI:1770952921
Name:HUGHES, TERI KAYE (RN)
Entity type:Individual
Prefix:MRS
First Name:TERI
Middle Name:KAYE
Last Name:HUGHES
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MRS
Other - First Name:TERI
Other - Middle Name:KAYE
Other - Last Name:BARTOSOVSKY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:1515 NE LAWRIE TATUM RD
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73507-3002
Mailing Address - Country:US
Mailing Address - Phone:580-354-5422
Mailing Address - Fax:580-354-5444
Practice Address - Street 1:1515 NE LAWRIE TATUM RD
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73507-3002
Practice Address - Country:US
Practice Address - Phone:580-354-5422
Practice Address - Fax:580-354-5444
Is Sole Proprietor?:No
Enumeration Date:2015-09-17
Last Update Date:2022-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKR0064980163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse