Healthcare Provider Details

I. General information

NPI: 1194928432
Provider Name (Legal Business Name): MARGARET (MITZI) J HUFFMAN RN, FNP-C, SANE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/06/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11016-18 HCR 6 E ST HWY 76
BRANSON WEST MO
65737-0000
US

IV. Provider business mailing address

PO BOX 2287
BRANSON WEST MO
65737-2287
US

V. Phone/Fax

Practice location:
  • Phone: 417-272-8410
  • Fax: 417-272-8385
Mailing address:
  • Phone: 417-272-8410
  • Fax: 417-272-8385

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number052418
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: