Individual
CRYSTAL E HUMPHRIES
Active
Individual
CRYSTAL E HUMPHRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
73007
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7004423
—
NC
05
—
NP0021
—
SC
01
—
P00729159
RAILROAD MEDICARE
SC
01
—
Q318733365
MEDICARE PIN
SC
01
—
Q318734746
MEDICARE PIN
SC
Enumeration date
06/21/2005
Last updated
01/21/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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