Individual
STACY HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1870 AMHERST ST STE 2E, WINCHESTER, VA 22601-2841
(540) 667-4546
(540) 667-6893
Mailing address
1870 AMHERST ST STE 2E, WINCHESTER, VA 22601-2841
(540) 667-4546
(540) 667-6893
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0101263992
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1306266994
—
VA
Enumeration date
04/22/2014
Last updated
03/17/2021
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