MEDICARE: MRS. ERIN MARIE HUFFMAN R.N.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	163W00000X	Registered Nurse	139022-30	WI

General Provider Information

NPI Number	:	1821482472
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ERIN MARIE HUFFMAN R.N.

Provider Business Mailing Address
First Line	:	2645 PIONEER RD
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54482-9344
Country	:	US
Telephone Number	:	715-498-7147
Fax Number	:

Provider Business Practice Location Address
First Line	:	2645 PIONEER RD
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54482-9344
Country	:	US
Telephone Number	:	715-498-7147
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/21/2015
Last Update Date	:	04/29/2015

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