Provider Demographics
NPI:1811274947
Name:HUFFORD, NATASHA LYNN (STNA)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:LYNN
Last Name:HUFFORD
Suffix:
Gender:F
Credentials:STNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1509 S SMITHVILLE RD
Mailing Address - Street 2:APARTMENT 10
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45410-3243
Mailing Address - Country:US
Mailing Address - Phone:937-248-8047
Mailing Address - Fax:
Practice Address - Street 1:1509 S SMITHVILLE RD
Practice Address - Street 2:APARTMENT 10
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45410-3243
Practice Address - Country:US
Practice Address - Phone:937-248-8047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-03
Last Update Date:2011-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH400250960603376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide