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PAYAL HUMBLES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
114 WOODLAND ST, CARDIOLOGY, HARTFORD, CT 06105-1208
(860) 714-4808
Mailing address
20 YORK ST, SURGICAL INTENSIVE CARE UNIT, NEW HAVEN, CT 06510-3220
(203) 688-1132

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
5081
CT
363LC0200X
Critical Care Medicine Nurse Practitioner
5081
CT
364SA2100X
Acute Care Clinical Nurse Specialist
5081
CT
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
06/21/2012
Last updated
06/29/2015
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