Individual provider · Type 1 NPI

Ellen A. Humberston, PA-C

Surgical Physician Assistant · Wausau, WI

NPI number 1952961633 Active

About NPI 1952961633

Ellen A. Humberston, PA-C's National Provider Identifier is 1952961633, issued on Jun 16, 2019. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Wausau, WI. The record was last updated on Mar 29, 2023.