Provider Demographics
NPI:1639448194
Name:HUFFMASTER, CHRISTIAN DAWN (IBCLC)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:DAWN
Last Name:HUFFMASTER
Suffix:
Gender:F
Credentials:IBCLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 433
Mailing Address - Street 2:
Mailing Address - City:HARDY
Mailing Address - State:AR
Mailing Address - Zip Code:72542-0433
Mailing Address - Country:US
Mailing Address - Phone:870-955-8230
Mailing Address - Fax:
Practice Address - Street 1:204 EAST CLAYTON STREET
Practice Address - Street 2:
Practice Address - City:HARDY
Practice Address - State:AR
Practice Address - Zip Code:72542-0433
Practice Address - Country:US
Practice Address - Phone:870-955-8230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-29
Last Update Date:2011-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR11179167174N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174N00000XOther Service ProvidersLactation Consultant, Non-RN