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Individual

BARBARA A HUMRICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNP

Contact information

Practice address
11100 EUCLID AVE, CLEVELAND, OH 44106-1716
(216) 844-7700
Mailing address
24701 EUCLID AVE, 3RD FLOOR, EUCLID, OH 44117-1714

Taxonomy

Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
1821-NP
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000221170
UNISON
OH
01
000000370807
ANTHEM
OH
01
000000526066
ANTHEM
OH
05
2497169
OH
05
2931742
OH
01
363653
WELLCARE
OH
01
745919
BUCKEYE
OH
01
7899683
AETNA
OH
Enumeration date
07/18/2006
Last updated
06/04/2012
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