Mirae Hughes
Individual provider Active NPI Peer Specialist · Arapaho, WY
NPI 1821852252 · NPPES record last updated Feb 7, 2024
Key facts
- NPI
- 1821852252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- License
- 145 (WY)
- Practice address
- 22 Great Plains Rd
Arapaho, WY 82510 - Phone
- (307) 856-8090
- NPI assigned
- Feb 7, 2024
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 145 | WY | MD | Peer Specialist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | 145 | WY | Yes |
Addresses
Primary practice location
22 Great Plains Rd
Arapaho, WY 82510
Mailing address
PO Box 190
St Stephens, WY 82524-0190
Phone (307) 856-8090
Other providers in Arapaho, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.