MEDICARE: PAULA R. HUFFMAN CRNA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	367500000X	Certified Registered Nurse Anesthetist	RN189026L	PA

General Provider Information

NPI Number	:	1164482261
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAULA R. HUFFMAN CRNA

Provider Business Mailing Address
First Line	:	158 SANDY BRAE DR
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-4958
Country	:	US
Telephone Number	:	724-344-4312
Fax Number	:

Provider Business Practice Location Address
First Line	:	158 SANDY BRAE DR
Second Line	:
City	:	CANONSBURG
State	:	PA
Zip	:	15317-4958
Country	:	US
Telephone Number	:	724-344-4312
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/24/2006
Last Update Date	:	09/30/2021

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