Provider Demographics
NPI:1346420684
Name:HUFF, NIKKI MCLEAN (RN, BSN)
Entity Type:Individual
Prefix:MRS
First Name:NIKKI
Middle Name:MCLEAN
Last Name:HUFF
Suffix:
Gender:F
Credentials:RN, BSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:RR 1 BOX 251C
Mailing Address - Street 2:
Mailing Address - City:GLENWOOD
Mailing Address - State:WV
Mailing Address - Zip Code:25520-9712
Mailing Address - Country:US
Mailing Address - Phone:304-576-2853
Mailing Address - Fax:
Practice Address - Street 1:RR 1 BOX 251C
Practice Address - Street 2:
Practice Address - City:GLENWOOD
Practice Address - State:WV
Practice Address - Zip Code:25520-9712
Practice Address - Country:US
Practice Address - Phone:304-576-2853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-04
Last Update Date:2007-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH331302163WH0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WH0200XNursing Service ProvidersRegistered NurseHome Health