Provider Demographics
NPI:1861440992
Name:HUMPHREYS, DAVID (CRNP-MSN)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:
Last Name:HUMPHREYS
Suffix:
Gender:M
Credentials:CRNP-MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:634 ALPHA DR
Mailing Address - Street 2:SUITE 600
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-2802
Mailing Address - Country:US
Mailing Address - Phone:610-892-8991
Mailing Address - Fax:
Practice Address - Street 1:634 ALPHA DR
Practice Address - Street 2:SUITE 600
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-2802
Practice Address - Country:US
Practice Address - Phone:610-892-8991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2014-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASP008735363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care