Provider Demographics
NPI:1063737062
Name:HUFFMAN, VIRGINIA R (RN)
Entity type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:R
Last Name:HUFFMAN
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1101 VETERANS DRIVE
Mailing Address - Street 2:VETERANS ADMINISTRATION MEDICAL CENTER
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40502
Mailing Address - Country:US
Mailing Address - Phone:859-233-4511
Mailing Address - Fax:859-281-3823
Practice Address - Street 1:2250 LEESTOWN ROAD
Practice Address - Street 2:VA MEDICAL CENTER
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40511
Practice Address - Country:US
Practice Address - Phone:859-233-4511
Practice Address - Fax:859-281-3823
Is Sole Proprietor?:No
Enumeration Date:2010-04-01
Last Update Date:2010-04-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY1071206163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse