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NPI Code Detail

MEDICARE: MRS. STACIE JO HUFF CRNP, PMHS

MEDICARE:  MRS. STACIE JO HUFF  CRNP, PMHS
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
1363LP0200XPediatric Nurse PractitionerNP07419OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285681502
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. STACIE JO HUFF CRNP, PMHS
Provider Business Mailing Address
First Line : 919 2ND ST NE
Second Line :
City : CANTON
State : OH
Zip : 44704-1132
Country : US
Telephone Number : 330-453-3386
Fax Number : 330-453-2362
Provider Business Practice Location Address
First Line : 919 2ND ST NE
Second Line :
City : CANTON
State : OH
Zip : 44704-1132
Country : US
Telephone Number : 330-453-3386
Fax Number : 330-453-2362
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2006
Last Update Date : 10/11/2012

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