Doctor Name: | LINDA C HUMPHREY |
NPI Number: | 1215094024 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ARNP |
License Number: | AP30007562 |
Business Practice Address: | 500 Se Washington Ave Chehalis, WA - 985323058 |
Business Phone Number: | 3607487400 |
Business Fax Number: | 3607408309 |
Mailing Address: | 500 Se Washington Ave, CHEHALIS |
State: | WA |
Postal Code: | 985323058 |
Phone Number: | 3607487400 |
Fax Number: | 3607408309 |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | AP30007562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |