Healthcare Provider Details

I. General information

NPI: 1124788534
Provider Name (Legal Business Name): AMBER HUFF APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/27/2021
Last Update Date: 09/27/2023
Certification Date: 09/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N CLINTON ST STE B
DEFIANCE OH
43512-4611
US

IV. Provider business mailing address

800 N CLINTON ST STE B
DEFIANCE OH
43512-4611
US

V. Phone/Fax

Practice location:
  • Phone: 419-783-2200
  • Fax:
Mailing address:
  • Phone: 419-783-2200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAPRN.CNP.0029372
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: