Healthcare Provider Details

I. General information

NPI: 1467974139
Provider Name (Legal Business Name): MARIA HUFFMAN CRNP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2017
Last Update Date: 07/13/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

755 NORMAN DR
LEBANON PA
17042-7497
US

IV. Provider business mailing address

234 PINEVIEW DR
PALMYRA PA
17078-8932
US

V. Phone/Fax

Practice location:
  • Phone: 717-273-6706
  • Fax:
Mailing address:
  • Phone: 717-798-2285
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberSP017635
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: