Healthcare Provider Details

I. General information

NPI: 1093601213
Provider Name (Legal Business Name): MELISSA ANNE HUFF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/16/2025
Last Update Date: 06/18/2025
Certification Date: 06/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5171 ZOROASTER ST
LAS VEGAS NV
89148-1630
US

IV. Provider business mailing address

5171 ZOROASTER ST
LAS VEGAS NV
89148-1630
US

V. Phone/Fax

Practice location:
  • Phone: 702-410-3971
  • Fax: 702-778-7592
Mailing address:
  • Phone: 702-410-3971
  • Fax: 702-778-7592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code172A00000X
TaxonomyDriver
License Number
License Number StateNV
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number StateNV
# 3
Primary TaxonomyN
Taxonomy Code372600000X
TaxonomyAdult Companion
License Number
License Number StateNV
# 4
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number StateNV
# 5
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: