Dequilla Hurt
Nurse Practitioner - Primary Care
169 Berkley Ave Apt. C
Lansdowne
, Pennsylvania 19050-1332
Dequilla Hurt
Nurse Practitioner - Primary Care
169 Berkley Ave Apt. C
Lansdowne
, Pennsylvania 19050-1332
(610) 246-0154
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About
Features
Specialties
- Nurse Practitioner - Primary Care
Languages spoken
- English
Location
First Address
- Dequilla Hurt
- 169 Berkley Ave Apt. C
- Lansdowne, PA
- Zip : 19050-1332
- Phone : (610) 246-0154
Second Address
- Dequilla Hurt
- 169 Berkley Ave Apt. C
- Lansdowne, PA
- Zip : 19050-1332
- Phone : (610) 246-0154
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LP2300X | Nurse Practitioner - Primary Care | SP015396 | PA |
National Provider Identifier
| NPI | 1063878411 |
|---|---|
| Provider Name | Dequilla Hurt |
| First Address | Lansdowne, PA 19050-1332 |
| Second Address | Lansdowne, PA 19050-1332 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/01/2016 |
| Last Update Date | 09/08/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.