Provider Demographics
NPI:1841251014
Name:HUFFSTETLER, NANCY D (RD)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:D
Last Name:HUFFSTETLER
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:A
Other - Last Name:DAINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2820 W AVENUE N
Mailing Address - Street 2:L4
Mailing Address - City:LANCASTER
Mailing Address - State:CA
Mailing Address - Zip Code:93551-2426
Mailing Address - Country:US
Mailing Address - Phone:661-943-4947
Mailing Address - Fax:
Practice Address - Street 1:43830 10TH ST W
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:CA
Practice Address - Zip Code:93534-4826
Practice Address - Country:US
Practice Address - Phone:661-940-1452
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWNT554581BMedicare ID - Type Unspecified