Individual
ELAINE HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
3875 E OVERLAND RD STE 108, MERIDIAN, ID 83642-9047
(208) 297-5829
Mailing address
3875 E OVERLAND RD STE 108, MERIDIAN, ID 83642-9047
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
224079
AZ
363LA2100X
Acute Care Nurse Practitioner
Primary
7471392
ID
Other
Enumeration date
03/31/2025
Last updated
02/03/2026
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