Individual
DIANNE HUMPHREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1015 N 18TH ST, CENTERVILLE, IA 52544-1170
(641) 683-5773
(641) 226-5759
Mailing address
201 S MARKET ST, OTTUMWA, IA 52501-2924
(641) 683-5773
(641) 226-5759
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
A117843
IA
Other
Enumeration date
07/08/2015
Last updated
05/20/2021
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