Healthcare Provider Details

I. General information

NPI: 1619789294
Provider Name (Legal Business Name): BRITTNEY HUFFMAN CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2025
Last Update Date: 04/15/2025
Certification Date: 04/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

502 VAN BUREN ST
FOSTORIA OH
44830-1533
US

IV. Provider business mailing address

309 W STEVENSON ST
GIBSONBURG OH
43431-1019
US

V. Phone/Fax

Practice location:
  • Phone: 419-334-8943
  • Fax: 419-334-8619
Mailing address:
  • Phone: 567-201-5922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberAPRN.CNP.0038237
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: