Provider Demographics
NPI:1063756997
Name:HUFFNER, CHRISTINE MICHELLE (NP)
Entity type:Individual
Prefix:MS
First Name:CHRISTINE
Middle Name:MICHELLE
Last Name:HUFFNER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:P.O. BOX 22210
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94623
Mailing Address - Country:US
Mailing Address - Phone:510-238-5400
Mailing Address - Fax:510-535-4189
Practice Address - Street 1:1030 INTERNATIONAL BLVD. SAN ANTONIO NEIGHBORHOOD HEALT
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94606
Practice Address - Country:US
Practice Address - Phone:510-238-5400
Practice Address - Fax:928-283-2677
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2018-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95006204363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner