Healthcare Provider Details

I. General information

NPI: 1083124069
Provider Name (Legal Business Name): MICHELE NICOLE HUFFMAN FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2017
Last Update Date: 10/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

793 W STATE ST RM 3N12
COLUMBUS OH
43222-1551
US

IV. Provider business mailing address

427 ALBERTA DR
COMMERCIAL POINT OH
43116-9751
US

V. Phone/Fax

Practice location:
  • Phone: 614-234-4242
  • Fax:
Mailing address:
  • Phone: 614-312-2433
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAPRN.CNP.021755
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: