Provider Demographics
NPI:1124453931
Name:HUFF, RHONDA MARIE (LPN)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:MARIE
Last Name:HUFF
Suffix:
Gender:F
Credentials:LPN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 FOREST PARK DR. APT. A
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45011
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:80 FOREST PARK DR
Practice Address - Street 2:APT. A
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45011-0840
Practice Address - Country:US
Practice Address - Phone:513-418-3147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-11
Last Update Date:2013-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHON.137662-M-IV164W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes164W00000XNursing Service ProvidersLicensed Practical Nurse