Individual
DR. MICHAEL R HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
WHNP-BC, FNP-C
Contact information
Practice address
7321 BALMER ST, HILL AFB, UT 84056-5012
(801) 777-7028
Mailing address
7321 BALMER ST, HILL AFB, UT 84056-5012
(801) 777-7028
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
13065075-4405
UT
Other
Enumeration date
09/14/2016
Last updated
01/24/2025
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