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:
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Health care specialties

SpecialtyCodeLicense #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 3 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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