Individual
MICHAELA C HUMPHREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
6100 ROCKSIDE WOODS BLVD N STE 425, INDEPENDENCE, OH 44131-2340
(216) 643-2780
(216) 524-0111
Mailing address
6100 ROCKSIDE WOODS BLVD N STE 425, INDEPENDENCE, OH 44131-2340
(216) 643-2780
(216) 524-0111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0032706
OH
363LF0000X
Family Nurse Practitioner
0032706
OH
Other
Enumeration date
12/12/2022
Last updated
12/12/2022
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