Individual
CALLIE ANNE HUMPHREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DNAP
Contact information
Practice address
3200 MACCORKLE AVE SE, CHARLESTON, WV 25304-1227
(304) 388-4077
(304) 388-9852
Mailing address
100 ANGUS E PEYTON DR, SOUTH CHARLESTON, WV 25303-1600
(304) 746-2088
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
92490
WV
367500000X
Certified Registered Nurse Anesthetist
Primary
120955
WV
Other
Enumeration date
04/30/2022
Last updated
10/19/2024
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