Humberg, Mara Nicole
Humberg, Mara Nicole is an individual health care provider with primary practice located at 2316 South St , Lafayette IN 47904-2971. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Humberg, Mara Nicole can be contacted via phone (765) 742-1567.Contact Information
Primary practice address
2316 South St
Lafayette IN 47904-2971
Phone: (765) 742-1567
Fax: (765) 742-2750
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics | 363LP0200X | 71011419A | Indiana |
Nursing Service Providers / Registered Nurse | 163W00000X | 28224434A | Indiana |
Profile Details
NPI number | 1760089445 |
---|---|
LBN Legal business name | Humberg, Mara Nicole |
Credentials | Nurse Practitioner (NP) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 6th, 2020 |
Last updated | May 9th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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