Healthcare Provider Details
I. General information
NPI: 1245226448
Provider Name (Legal Business Name): JOYCE E HUFFER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 09/22/2005
Last Update Date: 07/16/2021
Certification Date: 07/16/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
202 WEST LUPITA RD. UNIT B
SANTA FE NM
87505-4720
US
IV. Provider business mailing address
202 WEST LUPITA RD UNIT B
SANTA FE NM
87505-4720
US
V. Phone/Fax
- Phone: 513-748-4085
- Fax:
- Phone: 513-748-4085
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LF0000X |
| Taxonomy | Family Nurse Practitioner |
| License Number | RN116872 |
| License Number State | OH |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: