Individual
JOAN M. HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
63 PITT ST, SHARON, PA 16146-2102
(724) 342-6604
(724) 342-1601
Mailing address
100 SHENANGO AVE, SHARON, PA 16146-1503
(724) 981-2246
(724) 981-0553
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016554
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1032320300005
—
PA
Enumeration date
11/04/2016
Last updated
02/20/2020
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