Individual
JAMIE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 HIGHLAND AVE, LEWISTOWN, PA 17044-1167
(717) 248-5411
Mailing address
105B QUARRY RD, HALIFAX, PA 17032-9759
(315) 406-2079
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
104272
PA
Other
Enumeration date
11/10/2014
Last updated
11/25/2014
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