Michael R Humphrey, WHNP-BC, FNP-C
Individual provider Active NPI Women's Health Nurse Practitioner · Hill Afb, UT
NPI 1306394697 · NPPES record last updated Jan 24, 2025
Key facts
- NPI
- 1306394697
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Women's Health Nurse Practitioner 363LW0102X
- License
- 13065075-4405 (UT)
- Practice address
- 7321 Balmer St
Hill Afb, UT 84056-5012 - Phone
- (801) 777-7028
- NPI assigned
- Sep 14, 2016
- Sex
- Male
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13065075-4405 | UT | MD | Women's Health Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner |
363LW0102X | 13065075-4405 | UT | Yes |
Addresses
Primary practice location
7321 Balmer St
Hill Afb, UT 84056-5012
Mailing address
7321 Balmer St
Hill Afb, UT 84056-5012
Phone (801) 777-7028
Other providers in Hill Afb, UT
- Kristina Hernandez
- Stacey Marchus Hickman
- Hani Hijazi
- Mark Edward Hoggan
- Tyler Hollmann
- Joseph Anthony Huseman II
- Kelly Johnson
- Vanessa Jones
- Daniel Jacob Kardouni
- Eric Ford Kebker
All providers in Hill Afb, UT · Women's Health Nurse Practitioner in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 24, 2025. 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.