Healthcare Provider Details

I. General information

NPI: 1407971930
Provider Name (Legal Business Name): DEBORAH HUFF MSN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2840 W DAUPHIN ST
PHILADELPHIA PA
19132-4627
US

IV. Provider business mailing address

603 BRITTON PL
VOORHEES NJ
08043-2554
US

V. Phone/Fax

Practice location:
  • Phone: 215-427-5800
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code364SP0809X
TaxonomyAdult Psychiatric/Mental Health Clinical Nurse Specialist
License NumberRN512699L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: