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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

NICOLE MARIE HUMPHREY, NP

Active

NICOLE MARIE HUMPHREY, NP is a Gerontological Nurse Practitioner healthcare provider located in LITCHFIELD PARK, Arizona. NPI 1932611522 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · LITCHFIELD PARK, AZ

Registration Details

NPI Number
1932611522
Provider Type
Individual
Gender
Female
NPI Issued
Nov 3, 2017 (8.8144733505204 yrs)
Last Updated
Aug 15, 2023
Licenses
2017038321 (MO)
292500 (AZ)
2017038321 (MO)
209017369 (IL)

Practice Information

Address
5510 N 130TH AVE
LITCHFIELD PARK, AZ, 853403009
Browse AZ providers · Browse ZIP 85340
Phone
6189206548
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X
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.