# MARY J HUFF PSYCHIATRIC NURSE PRACTITIONER PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891095667
- **Authorized official:** MS. MARY JANE HUFF NP (PSYCHIATRIC NURSE PRACTITIONER)
- **Authorized official phone:** (928) 308-3715

## Contact information

- **Practice address:** 143 N MCCORMICK ST, SUITE 103, PRESCOTT, AZ 86301-2723
- **Practice address phone:** (928) 308-3715
- **Practice address fax:** (928) 778-3464
- **Mailing address:** PO BOX 3658, FLAGSTAFF, AZ 86003-3658
- **Mailing address phone:** (928) 308-3715
- **Mailing address fax:** (928) 778-3464

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | AP2067 | AZ | Yes |

## Other

- **Enumeration date:** 10/27/2010
- **Last updated:** 10/27/2010