Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KATHLEEN MILDRED HUMPAGE, RN, NCBTMB
Active Sole ProprietorChild & Adolescent Psychiatric Nurse · GLASTONBURY, CT
Registration Details
- NPI Number
- 1811531171
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 30, 2019 (6.5096284827595 yrs)
- Last Updated
- Oct 30, 2019
- License
-
R19817 (CT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
138 WOOD POND RDGLASTONBURY, CT, 060333702Browse CT providers · Browse ZIP 06033
- Phone
- 8605084245
- Fax
- 8606592559
- Primary Specialty
-
Child & Adolescent Psychiatric Nurse
163WP0808X
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.