Healthcare Provider Details

I. General information

NPI: 1710510722
Provider Name (Legal Business Name): ROBERT DILLON HUHN MSN FNP-BC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/18/2020
Last Update Date: 08/15/2025
Certification Date: 08/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2810 N CHURCH ST # 452105
WILMINGTON DE
19802
US

IV. Provider business mailing address

948 MIDLINE RD
AMSTERDAM NY
12010-6256
US

V. Phone/Fax

Practice location:
  • Phone: 817-675-5759
  • Fax: 844-519-2816
Mailing address:
  • Phone: 817-675-5759
  • Fax: 844-519-2816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number0024178904
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberLG-0011839
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: