Humphreys, Courtney B

Humphreys, Courtney B is an individual health care provider with primary practice located at 677 Church St Ne , Marietta GA 30060-1101. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered. Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered is her primary health care specialty. Humphreys, Courtney B can be contacted via phone (770) 794-0477.

Contact Information

Primary practice address
677 Church St Ne Marietta GA 30060-1101
Phone: (770) 794-0477
Fax: (770) 794-3108
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 129258 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 13595 Tennessee
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN182407 Georgia

Profile Details

NPI number 1396900189
LBN Legal business name Humphreys, Courtney B
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 22nd, 2008
Last updated Aug 27th, 2019 - about 5 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396900189 NPPES
Tennessee Other 4187045 BLUE CROSS BLUE SHIELD TN
Tennessee Other N472900 BLUE CROSS BLUE SHIELD TN
Tennessee MEDICAID 786364128A BLUE CROSS BLUE SHIELD TN
Tennessee MEDICAID 8053491 BLUE CROSS BLUE SHIELD TN
Tennessee MEDICAID 108055 BLUE CROSS BLUE SHIELD TN
Tennessee MEDICAID 1509499 BLUE CROSS BLUE SHIELD TN

Popular Providers