Provider Demographics
NPI:1538243894
Name:HUFF, MELISSA DANETTE (CRNP)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:DANETTE
Last Name:HUFF
Suffix:
Gender:F
Credentials:CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 36258
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-1204
Mailing Address - Country:US
Mailing Address - Phone:251-318-2678
Mailing Address - Fax:251-405-9900
Practice Address - Street 1:8010 MOFFETT RD
Practice Address - Street 2:
Practice Address - City:SEMMES
Practice Address - State:AL
Practice Address - Zip Code:36575-5406
Practice Address - Country:US
Practice Address - Phone:251-645-8946
Practice Address - Fax:251-645-8976
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1-085944363LF0000X, 363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51537593OtherBCBS - 1504 SPRINGHILL
AL891013110Medicaid
MS03632000Medicaid
MS03632000Medicaid
MS03632000Medicaid