Doctor Name: | CHRISTINE M HURT |
NPI Number: | 1326086752 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, BC, FNP |
License Number: | MO113714 |
Business Practice Address: | 875 State Route 5 Tipton, MO - 650818441 |
Business Phone Number: | 6604335541 |
Business Fax Number: | 6604335717 |
Mailing Address: | 103 Dale Ln, CALIFORNIA |
State: | MO |
Postal Code: | 650181158 |
Phone Number: | 5737964379 |
Fax Number: | |
NPI Enumeration Date: | 06/04/2006 |
NPI Last Update Date: | 09/21/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LF0000X |
License Number: | MO113714 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Family |
Taxonomy Definition: |