Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. DEREK J HUMPHRES, CRNA
ActiveMR. DEREK J HUMPHRES, CRNA is a Certified Nurse Anesthetist (CRNA) healthcare provider located in PEORIA, Illinois. NPI 1942981766 is currently active in the NPPES registry. Verify at CMS.
Certified Nurse Anesthetist (CRNA) · PEORIA, IL
Registration Details
- NPI Number
- 1942981766
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 25, 2023 (3.0409850632323 yrs)
- Last Updated
- Jul 25, 2023
- License
-
209025607 (IL)
Practice Information
- Address
-
6742 N FROSTWOOD PKWYPEORIA, IL, 616152402Browse IL providers · Browse ZIP 61615
- Phone
- 3096925393
- Fax
- 3096839998
- Primary Specialty
-
Certified Nurse Anesthetist (CRNA)
367500000X
Other Certified Nurse Anesthetist (CRNA) Providers in PEORIA, IL
| Name | Credential | NPI |
|---|---|---|
| ANN M WILLEMSEN-DUNLAP | CRNA | 1699761726 |
| TIMOTHY JAMES SAMOLITIS | CRNA | 1588651566 |
| DARYL CHENOWETH | CRNA | 1902871312 |
| MR. MICHAEL ERICKSON | CRNA | 1902874696 |
| EMILIE HUBBERT | CRNA | 1285602615 |
| MR. LARRY J KOTEWA | CRNA | 1942278130 |
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.