Michelle Humphrey, RN
Individual provider Active NPI Registered Nurse · Rochester, MA
NPI 1164901211 · NPPES record last updated Aug 9, 2018
Key facts
- NPI
- 1164901211
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- RN243240 (MA)
- Practice address
- 33 Boxberry LN
Rochester, MA 02770-2133 - Phone
- (774) 271-0296
- NPI assigned
- Aug 9, 2018
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN243240 | MA | MD | Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN243240 | MA | Yes |
Addresses
Primary practice location
33 Boxberry LN
Rochester, MA 02770-2133
Mailing address
33 Boxberry LN
Rochester, MA 02770-2133
Phone (774) 271-0296
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All providers in Rochester, MA · Registered Nurse in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.