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NICOLE D PUMPHREY NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1871106179

Individual Registrant:
 NICOLE D PUMPHREY NP
Gender: F
Not Sole Proprietor

Location and contact information for practice:
54 E HIGH ST  EAST HAMPTON, CT 06424-1052 US
Tel: 800-267-6853  Fax: --

Contact information for business:
13405 W 102ND ST  LENEXA, KS 66215-1843 US
Tel: 661-706-6546  Fax: --

Registration Information:
NPI: 1871106179
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
CA95014789
N363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
KS53-79632-032
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
CT10008

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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