Healthcare Provider Details

I. General information

NPI: 1124780754
Provider Name (Legal Business Name): MICHELLE LINN HUFFINES MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/11/2021
Last Update Date: 04/13/2023
Certification Date: 04/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6733 GALL BLVD
ZEPHYRHILLS FL
33542-2522
US

IV. Provider business mailing address

6733 GALL BLVD
ZEPHYRHILLS FL
33542-2522
US

V. Phone/Fax

Practice location:
  • Phone: 813-783-8242
  • Fax:
Mailing address:
  • Phone: 813-783-8242
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN11012330
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: