Individual provider · Type 1 NPI
Nicole Marie Humphrey, NP
Gerontology Nurse Practitioner · Litchfield Park, AZ
NPI number
1932611522
Active
Practice location
5510 N 130th Ave
Litchfield Park, AZ 85340-3009
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | 2017038321 (MO) |
| Gerontology Nurse Practitioner Primary | 363LG0600X | 292500 (AZ) |
| Adult Health Nurse Practitioner | 363LA2200X | 2017038321 (MO) |
| Gerontology Nurse Practitioner | 363LG0600X | 209017369 (IL) |
Gerontology Nurse Practitioner: Definition to come...
About NPI 1932611522
Nicole Marie Humphrey, NP's National Provider Identifier is 1932611522, issued on Nov 3, 2017. The primary taxonomy on file is Gerontology Nurse Practitioner (363LG0600X), and the practice location is in Litchfield Park, AZ. The record was last updated on Aug 15, 2023.