Individual
ASHTON LOUISE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
111 S GROVE ST STE 1, PETERSBURG, WV 26847-1770
(304) 257-2451
Mailing address
PO BOX 97, BAKER, WV 26801-0097
(304) 897-5915
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
F07170598
WV
Other
Enumeration date
07/21/2017
Last updated
04/07/2022
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