Healthcare Provider Details

I. General information

NPI: 1043787039
Provider Name (Legal Business Name): DAWN HUFF RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/28/2018
Last Update Date: 10/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37771 7 MILE RD
LIVONIA MI
48152-1058
US

IV. Provider business mailing address

37771 7 MILE RD
LIVONIA MI
48152-1058
US

V. Phone/Fax

Practice location:
  • Phone: 248-599-2410
  • Fax: 248-247-1025
Mailing address:
  • Phone: 248-599-2410
  • Fax: 248-247-1025

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC1500X
TaxonomyCommunity Health Registered Nurse
License Number4704184759
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: