Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LA2100X | Nurse Practitioner - Acute Care | 5081 | CT |
N | 363LC0200X | Nurse Practitioner - Critical Care Medicine | 5081 | CT |
NPI | 1134482300 |
---|---|
Provider Name | Payal Humbles |
First Address | New Haven, CT 06510-3220 |
Second Address | Hartford, CT 06105-1208 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/06/2012 |
Last Update Date | 29/06/2015 |