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Individual

TASHA L HUMPHREYS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ARNP

Contact information

Practice address
9 HAMPTON RD UNIT 2, EXETER, NH 03833-4807
(978) 225-0835
(603) 772-6761
Mailing address
9 HAMPTON RD UNIT 2, EXETER, NH 03833-4807
(978) 225-0835
(603) 772-6761

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
061014-21
NH
363L00000X
Nurse Practitioner
061014-23
NH
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2021099543
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3095969
NH
Enumeration date
03/13/2014
Last updated
02/18/2023
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