IndividualActive
Tanya Humphrey, BS, NDTR
NPI 1750923637 · Registered Dietetic Technician · Burneyville, OK
Provider details
- NPI number
- 1750923637
- Entity type
- Individual
- Primary specialty
- Registered Dietetic TechnicianDietary & Nutritional Service Providers
- Credential
- BS, NDTR
- Sex
- Female
- Sole proprietor
- Yes
Mailing address
12 Buffalo Pl
Burneyville, OK 73430-2136
Registry dates
- Enumerated
- 2019-10-12
- Last updated
- 2019-10-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.