Individual
CRYSTAL MARIE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 227-3900
Mailing address
2751 NAPA VALLEY CORPORATE DR BLDG B, NAPA, CA 94558-6216
(707) 227-3900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
720890
CA
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
720890
CA
Other
Enumeration date
01/04/2011
Last updated
05/04/2018
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