Doctor Name: | CARMA J. ERICKSON HURT |
NPI Number: | 1114199908 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CNS |
License Number: | 200743222 |
Business Practice Address: | 1610 Thompson Rd Coos Bay, OR - 974202150 |
Business Phone Number: | 5412692986 |
Business Fax Number: | 5412697987 |
Mailing Address: | 1620 Thompson Rd, COOS BAY |
State: | OR |
Postal Code: | 974202150 |
Phone Number: | 5412692986 |
Fax Number: | 5412697987 |
NPI Enumeration Date: | 04/01/2008 |
NPI Last Update Date: | 04/23/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 163WH1000X |
License Number: | 200743222 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | OR |
Taxonomy Type: | Nursing Service Providers |
Taxonomy Classification: | Registered Nurse |
Taxonomy Specialization: | Hospice |
Taxonomy Definition: |