Individual
MRS. CASSANDRA DAWN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
593 TOWNSHIP ROAD 147, KITTS HILL, OH 45645-8836
(740) 643-2840
Mailing address
593 TOWNSHIP ROAD 147, KITTS HILL, OH 45645-8836
(740) 643-2840
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN193231
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2278137
—
OH
Enumeration date
01/30/2007
Last updated
07/08/2007
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