Healthcare Provider Details

I. General information

NPI: 1417533829
Provider Name (Legal Business Name): ABBIE NICHOLE HUFF DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

664 MICHIGAN AVE
HOLLAND MI
49423-4944
US

IV. Provider business mailing address

664 MICHIGAN AVE
HOLLAND MI
49423-4944
US

V. Phone/Fax

Practice location:
  • Phone: 616-392-5973
  • Fax: 616-392-1646
Mailing address:
  • Phone: 616-392-5973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number5101028610
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: