Individual
MARTA MIREE HUMBLET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
6 JOHNSON ST, OWEN, WI 54460-9534
(715) 229-2177
Mailing address
6 JOHNSON ST, OWEN, WI 54460-9534
(715) 229-2177
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
506794
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
506794
WISCONSIN APNP
WI
Enumeration date
06/23/2014
Last updated
06/23/2014
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