Provider Demographics
NPI:1902499189
Name:THOMAS-HUFF, AUDREY (APRN)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:
Last Name:THOMAS-HUFF
Suffix:
Gender:F
Credentials:APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1526C JOHN B WHITE SR BLVD
Mailing Address - Street 2:
Mailing Address - City:SPARTANBURG
Mailing Address - State:SC
Mailing Address - Zip Code:29301-3886
Mailing Address - Country:US
Mailing Address - Phone:864-707-2010
Mailing Address - Fax:855-583-3721
Practice Address - Street 1:1526C JOHN B WHITE SR BLVD
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29301-3886
Practice Address - Country:US
Practice Address - Phone:864-707-2010
Practice Address - Fax:855-583-3721
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-18
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC80578163WC1500X
SC26336363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health