MEDICARE: TARYN NICOLE HUFFAKER MSN, 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	363LF0000X	Family Nurse Practitioner	AP142058	TX
2	363LF0000X	Family Nurse Practitioner	66666	NM

General Provider Information

NPI Number	:	1841852696
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TARYN NICOLE HUFFAKER MSN, APRN, FNP-C

Provider Business Mailing Address
First Line	:	PO BOX 1586
Second Line	:
City	:	DENVER CITY
State	:	TX
Zip	:	79323-1586
Country	:	US
Telephone Number	:	806-592-1060
Fax Number	:	806-592-1061

Provider Business Practice Location Address
First Line	:	521 N MAIN AVE
Second Line	:
City	:	DENVER CITY
State	:	TX
Zip	:	79323-2845
Country	:	US
Telephone Number	:	806-592-1060
Fax Number	:	806-592-1061

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

Provider Enumeration Date	:	07/02/2019
Last Update Date	:	07/20/2023

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