Kronda Nicole Huddleston, is a
Technician - Attendant Care Provider based in Fort Wayne, Indiana. Kronda Nicole Huddleston is licensed to practice in * (Not Available) (license number ) and her current practice location is
3120 Broadway, Fort Wayne, Indiana. She can be reached at her office (for appointments etc.) via phone at
(260) 704-5466.
NPI number for Kronda Nicole Huddleston is 1255074399 and her current mailing address is 811 E Pontiac St, Fort Wayne, Indiana. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1255074399.
Provider's Profile
| Full Name | Kronda Nicole Huddleston |
|---|
| Gender | Female |
|---|
| Speciality | Technician - Attendant Care Provider |
|---|
| Location | 3120 Broadway, Fort Wayne, Indiana |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1255074399
- Provider Enumeration Date: 04/17/2022
- Last Update Date: 01/14/2025
Medical Identifiers
Medical identifiers for Kronda Nicole Huddleston such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1255074399 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 163W00000X | Registered Nurse | 28245427A (Indiana) | Secondary |
| 163W00000X | Registered Nurse | 28245427C (Indiana) | Secondary |
| 3747P1801X | Technician - Personal Care Attendant | (* (Not Available)) | Secondary |
| 376J00000X | Homemaker | (* (Not Available)) | Secondary |
| 3747A0650X | Technician - Attendant Care Provider | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kronda Nicole Huddleston is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Kronda Nicole Huddleston,
811 E Pontiac St,
Fort Wayne, IN 46803-3459
Ph: (260) 704-5466 | Kronda Nicole Huddleston,
3120 Broadway,
Fort Wayne, IN 46807-1509
Ph: (260) 704-5466 |
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