MEDICARE: ANGELA CLARA HUFF APRN, FNP-C

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	163WG0000X	General Practice Registered Nurse	3016845	KY
2	363LF0000X	Family Nurse Practitioner	3016845	KY

General Provider Information

NPI Number	:	1740942176
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA CLARA HUFF APRN, FNP-C

Provider Business Mailing Address
First Line	:	505 SHOPPERS DR STE 2
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-2808
Country	:	US
Telephone Number	:	859-744-1358
Fax Number	:	859-744-1300

Provider Business Practice Location Address
First Line	:	505 SHOPPERS DR STE 2
Second Line	:
City	:	WINCHESTER
State	:	KY
Zip	:	40391-2808
Country	:	US
Telephone Number	:	859-744-1358
Fax Number	:	859-744-1300

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

Provider Enumeration Date	:	10/13/2021
Last Update Date	:	08/22/2024

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