Individual
MARIA HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3406 MARTIN AVE, OMAHA, NE 68112-2639
(402) 871-6170
Mailing address
3406 MARTIN AVE, OMAHA, NE 68112-2639
(402) 871-6170
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
17658
NE
Other
Enumeration date
11/16/2015
Last updated
11/16/2015
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