Individual
MRS. SHANAY HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
9032 KINGSLEY DR, REYNOLDSBURG, OH 43068-6708
(443) 740-5567
Mailing address
9032 KINGSLEY DR, REYNOLDSBURG, OH 43068-6708
(443) 740-5567
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
0038008
OH
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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