Provider Demographics
NPI:1437429362
Name:HUFFMAN, PEGGY JANE (RN MSN FNP-BC)
Entity Type:Individual
Prefix:MRS
First Name:PEGGY
Middle Name:JANE
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:RN MSN FNP-BC
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Mailing Address - Street 1:1310 OVERLOOK DR
Mailing Address - Street 2:
Mailing Address - City:BECKLEY
Mailing Address - State:WV
Mailing Address - Zip Code:25801-9239
Mailing Address - Country:US
Mailing Address - Phone:304-256-3854
Mailing Address - Fax:304-255-5702
Practice Address - Street 1:3771 ROBERT C BYRD DR
Practice Address - Street 2:BOX 1307
Practice Address - City:BECKLEY
Practice Address - State:WV
Practice Address - Zip Code:25801-2945
Practice Address - Country:US
Practice Address - Phone:304-255-5710
Practice Address - Fax:304-255-5702
Is Sole Proprietor?:No
Enumeration Date:2012-01-10
Last Update Date:2012-01-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
WV69062363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily