IndividualActive
Audra Huddleston
NPI 1790036416 · Licensed Practical Nurse · Buckeye, AZ
Provider details
- NPI number
- 1790036416
- Entity type
- Individual
- Primary specialty
- Licensed Practical NurseNursing Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LP049870 (AZ)
Specialties & taxonomies
Nursing Service Providers
Practice location
211 7th Ave W
Buckeye, AZ 85326-1020
Phone: (623) 386-4487
Approximate (ZIP-level) locationGet directions
Mailing address
10944 W Griswold Rd
Peoria, AZ 85345-2997
Registry dates
- Enumerated
- 2012-09-20
- Last updated
- 2015-11-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.