National Provider Identifier

Diane Marie Humphrey, LPN

Diane Marie Humphrey, LPN is listed in the NPPES registry with a primary specialty of Licensed Practical Nurse in Orchard Park, NY and a listed phone number of (610) 207-0562.

NPI 1154736098Orchard Park, NYLicensed Practical Nurse

Profile Overview

NPI
1154736098
Provider Type
Individual
Primary Specialty
Licensed Practical Nurse
Enumeration Date
June 30, 2014
Last Updated
June 30, 2014

Practice Location

  • 275 Countryside Ln
  • Apt. 3
  • Orchard Park, NY 14127-1332

Phone: (610) 207-0562

Specialties

  • Licensed Practical Nurse (164W00000X)
Full Record
NPI
1154736098
Entity Type
Individual
Last Name
Humphrey
First Name
Diane
Middle Name
Marie
Credential
LPN
Mailing Street Address
275 Countryside Ln
Mailing Address Line 2
Apt. 3
Mailing City
Orchard Park
Mailing State
NY
Mailing ZIP Code
14127-1332
Mailing Country
US
Mailing Phone
(610) 207-0562
Practice Street Address
275 Countryside Ln
Practice Address Line 2
Apt. 3
Practice City
Orchard Park
Practice State
NY
Practice ZIP Code
14127-1332
Practice Country
US
Practice Phone
(610) 207-0562
Enumeration Date
June 30, 2014
Last Updated
June 30, 2014
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Licensed Practical Nurse (164W00000X)