Molly Elizabeth Humphries
Registered Nurse, General Practice in Gallup, NM. Individual provider (NPI-1).
NPI number1770130031
StatusActive
Last updated in NPPESAug 21, 2019
Details
- NPI
- 1770130031
- Entity type
- Individual (NPI-1)
- Name
- Molly Elizabeth Humphries
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 21, 2019
- Last updated
- Aug 21, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 163WG0000X | Registered Nurse, General Practice | RN148794 | LA | Yes |
Practice location
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1000
Mailing address
516 E Nizhoni BlvdGallup, NM 87301-5748
Phone 505-722-1000
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