Individual
STACEY HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSN, RN, CPNP
Contact information
Practice address
16244 BENNETT RD, CULPEPER, VA 22701-4630
(540) 825-5381
(540) 829-0945
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(342) 951-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
0001267140
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024173915
VA
Other
Enumeration date
10/26/2006
Last updated
01/09/2023
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