Provider Demographics
NPI:1982143814
Name:HUFFMAN, EMILEE (APRN, FNP-BC)
Entity Type:Individual
Prefix:
First Name:EMILEE
Middle Name:
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:APRN, FNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 CHERRY ST STE 101
Mailing Address - Street 2:
Mailing Address - City:BLUEFIELD
Mailing Address - State:WV
Mailing Address - Zip Code:24701-3336
Mailing Address - Country:US
Mailing Address - Phone:304-327-1994
Mailing Address - Fax:304-327-1171
Practice Address - Street 1:510 CHERRY ST STE 101
Practice Address - Street 2:
Practice Address - City:BLUEFIELD
Practice Address - State:WV
Practice Address - Zip Code:24701-3336
Practice Address - Country:US
Practice Address - Phone:304-327-1994
Practice Address - Fax:304-327-1171
Is Sole Proprietor?:No
Enumeration Date:2017-02-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV81135363LF0000X, 207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional Cardiology
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily