Provider Demographics
NPI:1235408469
Name:HUFFORD, SCHEILA (RN)
Entity Type:Individual
Prefix:MISS
First Name:SCHEILA
Middle Name:
Last Name:HUFFORD
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4866 63RD ST
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-8057
Mailing Address - Country:US
Mailing Address - Phone:781-439-7501
Mailing Address - Fax:
Practice Address - Street 1:4866 63RD ST
Practice Address - Street 2:
Practice Address - City:URBANDALE
Practice Address - State:IA
Practice Address - Zip Code:50322-8057
Practice Address - Country:US
Practice Address - Phone:781-439-7501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-16
Last Update Date:2011-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA126782163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse