Humphrey, Nicole Marie

Humphrey, Nicole Marie is an individual health care provider with primary practice located at 5510 N 130Th Ave , Litchfield Park AZ 85340-3009. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Gerontology, Physician Assistants & Advanced Practice Nursing Providers / Adult Health. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is her primary health care specialty. Humphrey, Nicole Marie can be contacted via phone (618) 920-6548.

Contact Information

Primary practice address
5510 N 130Th Ave Litchfield Park AZ 85340-3009
Phone: (618) 920-6548
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2017038321 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 292500 Arizona
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X 2017038321 Missouri
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 209017369 Illinois

Profile Details

NPI number 1932611522
LBN Legal business name Humphrey, Nicole Marie
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2017
Last updated Aug 15th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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