IndividualActive
Carrie Humphrey, MD
NPI 1699721837 · Pediatrics Physician · Eagle, ID
Provider details
- NPI number
- 1699721837
- Entity type
- Individual
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- M9582 (ID)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3217 W Bavaria Street
Eagle, ID 83616
Phone: (208) 302-6200
Fax: (208) 302-6255
Approximate (ZIP-level) locationGet directions
Mailing address
3340 E Goldstone Way
Meridian, ID 83642-1026
Registry dates
- Enumerated
- 2006-05-26
- Last updated
- 2017-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.