Provider Demographics
NPI:1518317015
Name:HUMPAL, REBECCA (ARNP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:HUMPAL
Suffix:
Gender:F
Credentials:ARNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1501 N CAMPBELL AVE., ROOM 4402
Mailing Address - Street 2:PO BOX 245072
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724
Mailing Address - Country:US
Mailing Address - Phone:520-626-6670
Mailing Address - Fax:
Practice Address - Street 1:3838 N. CAMPBELL AVE., BLDG. 2
Practice Address - Street 2:FLOOR 2, CLINIC H
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719
Practice Address - Country:US
Practice Address - Phone:520-694-8888
Practice Address - Fax:520-694-6635
Is Sole Proprietor?:No
Enumeration Date:2016-06-15
Last Update Date:2025-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ279757363LF0000X
IAA117377363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily