Individual provider · Type 1 NPI

Dequilla Hurt

Primary Care Nurse Practitioner · Lansdowne, PA

NPI number 1063878411 Active

Practice location

169 Berkley Ave, Apt. C
Lansdowne, PA 19050-1332

Specialties and licenses

TaxonomyCodeLicense
Primary Care Nurse Practitioner Primary 363LP2300XSP015396 (PA)

Primary Care Nurse Practitioner: Definition to come...

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About NPI 1063878411

Dequilla Hurt's National Provider Identifier is 1063878411, issued on Jan 14, 2016. The primary taxonomy on file is Primary Care Nurse Practitioner (363LP2300X), and the practice location is in Lansdowne, PA. The record was last updated on Aug 9, 2021.