Provider Demographics
NPI:1396953501
Name:HUFFIN, MICHELE LEE
Entity type:Individual
Prefix:MRS
First Name:MICHELE
Middle Name:LEE
Last Name:HUFFIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MICHELE
Other - Middle Name:LEE
Other - Last Name:CARPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:537 E MOLER ST
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43207-1331
Mailing Address - Country:US
Mailing Address - Phone:614-893-1493
Mailing Address - Fax:
Practice Address - Street 1:537 E MOLER ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43207-1331
Practice Address - Country:US
Practice Address - Phone:614-893-1493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2625467374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide