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NICOLE HUMPHREY, NP
NP
Gerontology Nurse Practitioner
NPI: 1932611522Individual
Specialties, Licenses & Credentials
Gerontology Nurse PractitionerPrimary
Nurse Practitioner — Gerontology
Code: 363LG0600X
2017038321(MO)292500(AZ)209017369(IL)
Adult Health Nurse Practitioner
Nurse Practitioner — Adult Health
Code: 363LA2200X
2017038321(MO)
CMS Specialties
PrimaryNURSE PRACTITIONER
Education
OTHER
Class of 2017
Contact & Hours
- Address
- 5510 N 130TH AVE
LITCHFIELD PARK, AZ 85340 - Phone
- (618) 920-6548
Quick Facts
- NPI
- 1932611522
- Entity Type
- Individual
- Gender
- Female
- Medicare
- Not confirmed
- Specialties
- 4
- Locations
- 1
- Years in Practice
- 9
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