Nakela Humphries

Individual provider Active NPI Contractor · Charlotte, NC

NPI 1164030623 · NPPES record last updated Jul 21, 2020

Key facts

NPI
1164030623
Entity type
Individual (NPI type 1)
Primary specialty
Contractor 171W00000X
Practice address
4957 Albemarle Rd Ste a
Charlotte, NC 28205-6617
Phone
(980) 474-1044
NPI assigned
Jul 21, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X Yes

Addresses

Primary practice location

4957 Albemarle Rd Ste a
Charlotte, NC 28205-6617

Mailing address

4957 Albemarle Rd Ste a
Charlotte, NC 28205-6617
Phone (980) 474-1044

Electronic endpoints

TypeEndpointUseAffiliation
CONNECT URL nakelahumphries@gmail.com Direct

Other providers in Charlotte, NC

All providers in Charlotte, NC · Contractor in North Carolina

Sources for this page

Verify at the official NPI Registry.