| Celyn Ijeoma Hughes, FNP-BC, RN | |
|
9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 | |
| (503) 879-2002 | |
| Not Available |
| Full Name | Celyn Ijeoma Hughes |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Family |
| Location | 9605 Grand Ronde Rd, Grand Ronde, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558862151 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163W00000X | Registered Nurse | 848143 (Texas) | Secondary |
| 363LF0000X | Nurse Practitioner - Family | AP139652 (Texas) | Primary |
| Entity Name | Docdit Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1346955267 PECOS PAC ID: 7517329485 Enrollment ID: O20230810000176 |
| Mailing Address | Practice Location Address |
|---|---|
| Celyn Ijeoma Hughes, FNP-BC, RN 3904 Thoroughbred Trl, Fort Worth, TX 76123-2572 Ph: (817) 715-2306 | Celyn Ijeoma Hughes, FNP-BC, RN 9605 Grand Ronde Rd, Grand Ronde, OR 97347-9712 Ph: (503) 879-2002 |
Mr. Maurice A Ajaifia, PMHNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2026 | |
Ms. Wendy Monette Schmolzi, APRN, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 Fax: 503-879-2071 | |
Tricia Raye Hayden, APRN Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2060 | |
Deborah Anne Samoson, NURSE PRACTITIONER Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 9605 Grand Ronde Rd, Grand Ronde, OR 97347 Phone: 503-879-2002 |