Provider Demographics
NPI:1245226448
Name:HUFFER, JOYCE E (NP)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:E
Last Name:HUFFER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:202 WEST LUPITA RD
Mailing Address - Street 2:UNIT B
Mailing Address - City:SANTA FE
Mailing Address - State:NM
Mailing Address - Zip Code:87505-4720
Mailing Address - Country:US
Mailing Address - Phone:513-748-4085
Mailing Address - Fax:
Practice Address - Street 1:202 WEST LUPITA RD.
Practice Address - Street 2:UNIT B
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87505-4720
Practice Address - Country:US
Practice Address - Phone:513-748-4085
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-09-22
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHRN116872363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
KYS40003Medicare UPIN