Individual
ELIZABETH HUMPHRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,CNM
Contact information
Practice address
2911 MARINA DR, MIDDLETON, WI 53562-1823
(608) 770-2730
Mailing address
2911 MARINA DR, MIDDLETON, WI 53562-1823
(608) 770-2730
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
137774-030
WI
163WH0200X
Home Health Registered Nurse
Primary
137774-032
WI
Other
Enumeration date
11/30/2010
Last updated
03/07/2015
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