Individual
CHRISTINE M. HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
3555 WILLOW LAKE BLVD STE 290, VADNAIS HEIGHTS, MN 55110-4465
(952) 431-5330
(952) 431-5334
Mailing address
1268 142ND ST, NEW RICHMOND, WI 54017-6644
(715) 220-9533
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
2480748
MN
Other
Enumeration date
07/20/2022
Last updated
07/20/2022
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