Melissa L Humburg
Nurse Practitioner, Family in Carmel, IN. Individual provider (NPI-1).
NPI number1841745577
StatusActive
Last updated in NPPESJun 30, 2022
Details
- NPI
- 1841745577
- Entity type
- Individual (NPI-1)
- Name
- Melissa L Humburg
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 23, 2016
- Certification date
- Jun 30, 2022
- Last updated
- Jun 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LF0000X | Nurse Practitioner, Family | 71006683A | IN | Yes |
Practice location
13400 N Meridian StCarmel, IN 46032-7102
Phone 317-415-6050
Mailing address
13400 N Meridian St Ste 302Carmel, IN 46032-7104
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