Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LP2300X | Nurse Practitioner - Primary Care | CA |
NPI | 1033308176 |
---|---|
Provider Name | Margaret Huffines |
First Address | Sacramento, CA 95833-2824 |
Second Address | Sacramento, CA 95833-2824 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/10/2007 |
Last Update Date | 15/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
296311 | RN LICENSE (01) | CA |
429 | NP LICENSE (01) | CA |