MEDICARE: MICHELE HUFF ARNP

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	363L00000X	Nurse Practitioner	064695	MO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	064695	OTHER	MO	LICENSE

General Provider Information

NPI Number	:	1396916573
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELE HUFF ARNP

Provider Business Mailing Address
First Line	:	161 WASHINGTON ST
Second Line	:	EIGHT TOWER BRIDGE SUITE 1400
City	:	CONSHOHOCKEN
State	:	PA
Zip	:	19428-2083
Country	:	US
Telephone Number	:	866-825-3227
Fax Number	:	484-450-2617

Provider Business Practice Location Address
First Line	:	3937 VOGEL RD
Second Line	:
City	:	ARNOLD
State	:	MO
Zip	:	63010-3798
Country	:	US
Telephone Number	:	866-825-3227
Fax Number	:	484-450-2617

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

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	03/17/2008

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