Healthcare Provider Details

I. General information

NPI: 1699342006
Provider Name (Legal Business Name): HUFF SENIOR HOUSECALLS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2021
Last Update Date: 01/11/2023
Certification Date: 01/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

44 MILTON AVE
ALPHARETTA GA
30009-1508
US

IV. Provider business mailing address

44 MILTON AVE
ALPHARETTA GA
30009-1508
US

V. Phone/Fax

Practice location:
  • Phone: 425-449-1571
  • Fax:
Mailing address:
  • Phone: 425-449-1571
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LG0600X
TaxonomyGerontology Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: JOANNA HUFF
Title or Position: OWNER
Credential: NURSE PRACTITIONER
Phone: 425-449-1571