Individual
MRS. KATIE MARIE EDWARDS-HUMPAL
Active
Individual
MRS. KATIE MARIE EDWARDS-HUMPAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
209.018546
IL
363LF0000X
Family Nurse Practitioner
Primary
209018546
IL
363LF0000X
Family Nurse Practitioner
5014632
NC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
209.018546
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209.018546
IL LICENSE NUMBER
IL
01
—
5014632
NC NP LICENSE
NC
Enumeration date
09/27/2016
Last updated
04/19/2023
Update your record
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