Individual provider · Type 1 NPI
Stacey Nicole Humphrey
Customized Equipment (DME) · Florissant, MO
NPI number
1972963809
Active
Practice location
2175 Orleans Ln
Florissant, MO 63031-2111
Fax (314) 480-7162
Other practice locations
- 1121 Milton Rd, Alton, IL 62002-3153 · (314) 243-1785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Customized Equipment (DME) Primary | 332BC3200X | None listed |
Customized Equipment (DME): Definition to come...
2 other providers at this address
About NPI 1972963809
Stacey Nicole Humphrey's National Provider Identifier is 1972963809, issued on Mar 4, 2016. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Florissant, MO. The record was last updated on Feb 5, 2020.