Individual
KERRIE HUMBATOVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C, PMHNP-BC
Contact information
Practice address
40926 FREMONT BLVD, FREMONT, CA 94538-4375
(510) 936-6525
Mailing address
10080 N WOLFE RD STE SW3200, CUPERTINO, CA 95014-2594
(816) 772-4383
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95019175
CA
Other
Enumeration date
07/07/2022
Last updated
05/19/2025
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