Provider Demographics
NPI:1467624429
Name:HUMPHREY, RACHEL ANNE (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:HUMPHREY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:22 COMMERCE ST
Mailing Address - Street 2:SUITE 10
Mailing Address - City:HINESBURG
Mailing Address - State:VT
Mailing Address - Zip Code:05461-9303
Mailing Address - Country:US
Mailing Address - Phone:802-482-3200
Mailing Address - Fax:802-482-5238
Practice Address - Street 1:22 COMMERCE ST
Practice Address - Street 2:SUITE 10
Practice Address - City:HINESBURG
Practice Address - State:VT
Practice Address - Zip Code:05461-9303
Practice Address - Country:US
Practice Address - Phone:802-482-3200
Practice Address - Fax:802-482-5238
Is Sole Proprietor?:No
Enumeration Date:2008-03-31
Last Update Date:2011-08-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT042-0012153207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine