Provider Demographics
NPI:1700836673
Name:HUFFMAN, SPRING A (NP)
Entity Type:Individual
Prefix:MS
First Name:SPRING
Middle Name:A
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:SPRING
Other - Middle Name:A
Other - Last Name:BOEDDEKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:400 E 3RD ST
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55805-1951
Mailing Address - Country:US
Mailing Address - Phone:701-364-4999
Mailing Address - Fax:
Practice Address - Street 1:1702 UNIVERSITY DR S
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-4940
Practice Address - Country:US
Practice Address - Phone:701-364-8900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2024-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNR 194077-4363LF0000X
MNCNP 3591363LF0000X
NDR33815363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
NDN714062Medicaid
ND84159Medicaid
NDN714062Medicaid