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AUDREY HUMPHREY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
10009 SOUTHPOINT PKWY, FREDERICKSBURG, VA 22407-2709
(540) 898-6600
Mailing address
7 BRANNIGAN DR, STAFFORD, VA 22554-8522

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024175589
VA
363LA2200X
Adult Health Nurse Practitioner
0024175589
VA
363LG0600X
Gerontology Nurse Practitioner
0024175589
VA

Other

Enumeration date
03/31/2016
Last updated
04/13/2018
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