Provider Demographics
NPI:1164735700
Name:HUFFSTETLER, SABRINA R (APN, NP-C)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:R
Last Name:HUFFSTETLER
Suffix:
Gender:F
Credentials:APN, NP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 BROADERICK BLVD
Mailing Address - Street 2:
Mailing Address - City:MARYVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37801-9002
Mailing Address - Country:US
Mailing Address - Phone:865-659-9894
Mailing Address - Fax:
Practice Address - Street 1:1265 BROADERICK BLVD
Practice Address - Street 2:
Practice Address - City:MARYVILLE
Practice Address - State:TN
Practice Address - Zip Code:37801-9002
Practice Address - Country:US
Practice Address - Phone:865-659-9894
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-25
Last Update Date:2015-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNRN0000101157163WX0002X
TN15586363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0002XNursing Service ProvidersRegistered NurseObstetric, High-Risk