Provider Demographics
NPI:1801219233
Name:HUFFER, THOMAS JUSTIN (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:JUSTIN
Last Name:HUFFER
Suffix:
Gender:M
Credentials:MSN, APRN, FNP-C
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 578
Mailing Address - Street 2:
Mailing Address - City:CIRCLEVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43113-0578
Mailing Address - Country:US
Mailing Address - Phone:740-474-3159
Mailing Address - Fax:740-474-2110
Practice Address - Street 1:610 NORTHRIDGE RD.
Practice Address - Street 2:
Practice Address - City:CIRCLEVILLE
Practice Address - State:OH
Practice Address - Zip Code:43113-0578
Practice Address - Country:US
Practice Address - Phone:740-474-3159
Practice Address - Fax:740-474-2110
Is Sole Proprietor?:No
Enumeration Date:2014-01-21
Last Update Date:2014-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHCOA15441-NP364S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes364S00000XPhysician Assistants & Advanced Practice Nursing ProvidersClinical Nurse Specialist