Individual
SHANNON MARIE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN, CPNP
Contact information
Practice address
9139 WESTOVER HILLS BLVD STE 101, SAN ANTONIO, TX 78251-2889
(210) 437-3990
(210) 437-3991
Mailing address
277 BUDDY GANEM DR STE A, PORTLAND, TX 78374-3202
(361) 777-3900
(361) 413-0274
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1045865
TX
Other
Enumeration date
06/25/2021
Last updated
08/19/2024
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