Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
REGINALD L HUMPHREY, NP
ActiveNurse Practitioner · FORT WAYNE, IN
Registration Details
- NPI Number
- 1619978178
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 9, 2005 (20.703623721439 yrs)
- Last Updated
- Oct 20, 2022
- Licenses
-
APN0000012531 (TN)71000812A (IN)
Practice Information
- Address
-
11109 PARKVIEW PLAZA DRFORT WAYNE, IN, 468451701Browse IN providers · Browse ZIP 46845
- Phone
- 2602662020
- Fax
- 2602662009
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Other Nurse Practitioner Providers in FORT WAYNE, IN
| Name | Credential | NPI |
|---|---|---|
| KAREN E. SPRINGER | NP | 1225035421 |
| BEATRICE K TROXELL | NP | 1376542126 |
| JOYCE A FISHER | NP | 1962404392 |
| VALERIE L STUCKY | NP | 1750373601 |
| VICKI L BAHLS | NP | 1619962198 |
| MRS. CHERYL LYNN ERICKSON | NP | 1194713644 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.