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REGINALD HUMPHREY, NP
NP
Nurse Practitioner
NPI: 1619978178IndividualAccepts Medicare
Specialties, Licenses & Credentials
Family Nurse Practitioner
Nurse Practitioner — Family
Code: 363LF0000X
APN0000012531(TN)
Nurse PractitionerPrimary
Nurse Practitioner
Code: 363L00000X
71000812A(IN)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 1999
Contact & Hours
- Address
- 11109 PARKVIEW PLAZA DR
FORT WAYNE, IN 46845 - Phone
- (260) 266-2020
Quick Facts
- NPI
- 1619978178
- Entity Type
- Individual
- Gender
- Male
- Medicare
- Accepted
- Specialties
- 2
- Locations
- 1
- Years in Practice
- 27
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