Individual
HEATHER HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
64 ROBBINS ST, WATERBURY, CT 06708-2613
(203) 573-6000
Mailing address
65 WARNER AVE, OAKVILLE, CT 06779-1522
(203) 217-1455
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
106517
CT
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
6837
CT
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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