Humphrey, Joan M.

Humphrey, Joan M. is an individual health care provider with primary practice located at 63 Pitt St , Sharon PA 16146-2102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Humphrey, Joan M. can be contacted via phone (724) 342-6604.

Contact Information

Primary practice address
63 Pitt St Sharon PA 16146-2102
Fax: (724) 342-1601
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP016554 Pennsylvania

Profile Details

NPI number 1396287553
LBN Legal business name Humphrey, Joan M.
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 4th, 2016
Last updated Feb 20th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1396287553 NPPES
Pennsylvania MEDICAID 1032320300005

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