Provider Demographics
NPI:1063735983
Name:HUFF, LAURETTA FRANCES (RN)
Entity type:Individual
Prefix:
First Name:LAURETTA
Middle Name:FRANCES
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 1:5414 KEEL DR
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32507-7978
Mailing Address - Country:US
Mailing Address - Phone:904-891-4196
Mailing Address - Fax:
Practice Address - Street 1:5414 KEEL DR
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32507-7978
Practice Address - Country:US
Practice Address - Phone:904-891-4196
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-03-05
Last Update Date:2010-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001141378163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse