Individual provider · Type 1 NPI

Christian Cheyenne Humphries, PA-C

Medical Physician Assistant · Boston, MA

NPI number 1366354979 Active

Practice location

450 Brookline Ave
Boston, MA 02215-5450

Mailing address

847 Hamilton Rd
Rutherfordton, NC 28139-7648

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1366354979

Christian Cheyenne Humphries, PA-C's National Provider Identifier is 1366354979, issued on Sep 18, 2026. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Boston, MA. The record was last updated on Sep 18, 2026.