IndividualActive
Ellen Humberston, PA-C
NPI 1952961633 · Surgical Physician Assistant · Wausau, WI
Provider details
- NPI number
- 1952961633
- Entity type
- Individual
- Primary specialty
- Surgical Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Practice location
2400 Pine Ridge Blvd
Wausau, WI 54401-7803
Phone: (715) 842-3196
Approximate (ZIP-level) locationGet directions
Mailing address
2400 Pine Ridge Blvd
Wausau, WI 54401-7803
Registry dates
- Enumerated
- 2019-06-16
- Last updated
- 2023-03-29
- Certified
- 2023-03-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.