Healthcare Provider Details

I. General information

NPI: 1003921263
Provider Name (Legal Business Name): DEAH REBECCA HUFF W.H.N.P.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2006
Last Update Date: 03/27/2024
Certification Date: 03/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14900 SAINT STEPHENS AVE
CHATOM AL
36518-6715
US

IV. Provider business mailing address

14900 SAINT STEPHENS AVE
CHATOM AL
36518-6715
US

V. Phone/Fax

Practice location:
  • Phone: 251-847-2245
  • Fax:
Mailing address:
  • Phone: 251-847-2245
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number1-133796
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License NumberR859705
License Number StateMS
# 3
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number1-133796
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: