| Stephanie Humbert, | |
|
367 E Main St, Waterloo, NY 13165-1662 | |
| (315) 521-9228 | |
| Not Available |
| Full Name | Stephanie Humbert |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner - Primary Care |
| Location | 367 E Main St, Waterloo, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356022560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LP2300X | Nurse Practitioner - Primary Care | F351974-01 (New York) | Primary |
| Entity Name | Geneva General Hospital, Inc |
|---|---|
| Entity Type | Part B Supplier - Hospital Department(s) |
| Entity Identifiers | NPI Number: 1215194501 PECOS PAC ID: 7810809407 Enrollment ID: O20080728000487 |
| Entity Name | Soldiers & Sailors Memorial Hospital |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1215044516 PECOS PAC ID: 0446164255 Enrollment ID: O20210407000450 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephanie Humbert, 3605 Lakes Corners Rose Valley Rd, Clyde, NY 14433-9606 Ph: (315) 521-9228 | Stephanie Humbert, 367 E Main St, Waterloo, NY 13165-1662 Ph: (315) 521-9228 |
Janet L Owen, N.P. Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 367 E Main St, Waterloo, NY 13165 Phone: 315-539-0580 Fax: 315-539-0583 | |
Roberta L. Korich, N.P. Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 367 E Main St, Seneca Family Health Center, Waterloo, NY 13165 Phone: 315-787-4977 | |
Sue A Green, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 369 E Main St, Waterloo, NY 13165 Phone: 315-539-4025 | |
Mrs. Jennifer Lauren Whitmore, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 367 E Main St, Waterloo, NY 13165 Phone: 315-787-4977 | |
Ute E Gallert, FNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 369 E. Main Street, Huntington Living Center, Waterloo, NY 13165 Phone: 315-539-9202 Fax: 315-539-3495 | |
Brianne En, PMHNP-BC Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 31 Thurber Dr, Waterloo, NY 13165 Phone: 315-539-1980 |