Individual
NATHANIEL EVAN HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
577 WESTERN AVE, WESTFIELD, MA 01085-2580
(413) 304-0946
Mailing address
577 WESTERN AVE, WESTFIELD, MA 01085-2580
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA101759
MA
Other
Enumeration date
08/01/2025
Last updated
08/01/2025
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