Provider Demographics
NPI:1043787039
Name:HUFF, DAWN (RN)
Entity type:Individual
Prefix:MS
First Name:DAWN
Middle Name:
Last Name:HUFF
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37771 7 MILE RD
Mailing Address - Street 2:
Mailing Address - City:LIVONIA
Mailing Address - State:MI
Mailing Address - Zip Code:48152-1058
Mailing Address - Country:US
Mailing Address - Phone:248-599-2410
Mailing Address - Fax:248-247-1025
Practice Address - Street 1:37771 7 MILE RD
Practice Address - Street 2:
Practice Address - City:LIVONIA
Practice Address - State:MI
Practice Address - Zip Code:48152-1058
Practice Address - Country:US
Practice Address - Phone:248-599-2410
Practice Address - Fax:248-247-1025
Is Sole Proprietor?:No
Enumeration Date:2018-10-28
Last Update Date:2018-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4704184759163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC1500XNursing Service ProvidersRegistered NurseCommunity Health