Individual
STACIA HUFFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1234 WREN DR, NEW MARTINSVILLE, WV 26155-2832
(740) 213-9051
Mailing address
1234 WREN DR, NEW MARTINSVILLE, WV 26155-2832
(740) 213-9051
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
106009
WV
363LF0000X
Family Nurse Practitioner
F12190801
WV
Other
Enumeration date
01/11/2020
Last updated
04/20/2022
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