| Doctor Name: | TANESHA ANTANETTE HURT |
| NPI Number: | 1003086422 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RN |
| License Number: | 2005031370 |
| Business Practice Address: | 4401 Wornall Rd Kansas City, MO - 641113220 |
| Business Phone Number: | 8169322007 |
| Business Fax Number: | |
| Mailing Address: | 2614 Victor St, KANSAS CITY |
| State: | MO |
| Postal Code: | 641281161 |
| Phone Number: | 8167163309 |
| Fax Number: | |
| NPI Enumeration Date: | 03/03/2008 |
| NPI Last Update Date: | 03/03/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 163WN0002X |
| License Number: | 2005031370 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Nursing Service Providers |
| Taxonomy Classification: | Registered Nurse |
| Taxonomy Specialization: | Neonatal Intensive Care |
| Taxonomy Definition: | |