Individual
DAVID BRIAN HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN, FNP-C
Contact information
Practice address
1700 E QUARTER RD, SILOAM SPRINGS, AR 72761-4603
(479) 238-1222
Mailing address
1301 S WALTON BLVD, BENTONVILLE, AR 72712-6284
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2024017560
MO
363LF0000X
Family Nurse Practitioner
Primary
218963
AR
Other
Enumeration date
03/17/2022
Last updated
07/03/2024
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