Doctor Name: | SARAH HUMPULA |
NPI Number: | 1063726032 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, CRNA |
License Number: | 4704272596 |
Business Practice Address: | 1925 Neidhart Ave Marquette, MI - 498559325 |
Business Phone Number: | 9064585939 |
Business Fax Number: | |
Mailing Address: | 1925 Neidhart Ave, MARQUETTE |
State: | MI |
Postal Code: | 498551822 |
Phone Number: | 9064585939 |
Fax Number: | |
NPI Enumeration Date: | 08/02/2010 |
NPI Last Update Date: | 05/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WC0200X |
License Number: | 4704272596 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MI |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Critical Care Medicine |
Taxonomy Definition: |