Andrea Pearl Humphreys in Broken Arrow - Specialist
Andrea Pearl Humphreys - NPI 1003851114
Andrea Pearl Humphreys is a Specialist in Broken Arrow, Oklahoma. Andrea Pearl Humphreys practices all healthcare services and medical treatments related to Specialist. The NPI Number for Andrea Pearl Humphreys is 1003851114. The last update date is 2014-08-29.
Andrea Pearl Humphreys's current location address is 3213 N 8th Pl, Broken Arrow, Oklahoma. You can contact this provider via phone number 9188943700. The mailing address for Andrea Pearl Humphreys is 3213 N 8th Pl, Broken Arrow, Oklahoma. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Andrea Pearl Humphreys |
|---|---|
| Address | 3213 N 8th Pl, Broken Arrow, Oklahoma |
| Phone Number | 9188943700 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1003851114 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2014-08-29 |
Provider Mailing Address Detail
| Address | 3213 N 8th Pl |
|---|---|
| City | Broken Arrow |
| State | Oklahoma (OK) |
| Post Code | 740128221 |
| Phone Number | 9188943700 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 1231 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200017780 | OK | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Andrea Pearl Humphreys by the Centers for Medicare & Medicaid Services?
The Andrea Pearl Humphreys has been issued the NPI (National Provider Identifier) 1003851114, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Andrea Pearl Humphreys is located?
The Andrea Pearl Humphreys is situated at the following address: 3213 N 8Th Pl, Broken Arrow, OK, 740128221.
What is the Andrea Pearl Humphreys's area of specialization and corresponding taxonomy classification?
The Andrea Pearl Humphreys's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1003851114 to Andrea Pearl Humphreys?
The Centers for Medicare & Medicaid Services assigned the 1003851114 to Andrea Pearl Humphreys on 2006-06-20.
When was the information regarding Andrea Pearl Humphreys most recently updated?
The details pertaining to the Andrea Pearl Humphreys, including its address, specialty, and other relevant information, were last refreshed on 2014-08-29.