Healthcare Provider Details

I. General information

NPI: 1194302968
Provider Name (Legal Business Name): ASTRID HUFNAGEL CD, CLC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2021
Last Update Date: 03/26/2021
Certification Date: 03/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 GATES AVE
MONTCLAIR NJ
07042-3213
US

IV. Provider business mailing address

86 GATES AVE
MONTCLAIR NJ
07042-3213
US

V. Phone/Fax

Practice location:
  • Phone: 973-626-0487
  • Fax:
Mailing address:
  • Phone: 973-626-0487
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174N00000X
TaxonomyLactation Consultant (Non-RN)
License Number
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: