Provider Demographics
NPI:1497513451
Name:HUFFMAN, CHRISTY L
Entity Type:Individual
Prefix:MRS
First Name:CHRISTY
Middle Name:L
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:669 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:WEST MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:43358-9510
Mailing Address - Country:US
Mailing Address - Phone:937-210-8951
Mailing Address - Fax:
Practice Address - Street 1:669 S MAIN ST
Practice Address - Street 2:
Practice Address - City:WEST MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:43358-9510
Practice Address - Country:US
Practice Address - Phone:937-210-8951
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-13
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker