DEQUILLA HURT


Address: 169 Berkley Ave, Apt. C, Lansdowne, PA 19050-1332
Phone: 6102460154

DEQUILLA HURT (NPI# 1063878411) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1063878411
Entity Type Individual
Full Name DEQUILLA HURT
Practice Address 169 Berkley Ave
Apt. C
Lansdowne
PA 19050-1332
Practice Telephone 6102460154
Mailing Telephone 6102460154
Enumeration Date 2016-01-14
Last Update Date 2016-01-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163WG0600X Registered Nurse
Specialization: Gerontology
SPO15396 PA Nursing Service Providers

Office Location

Street Address 169 BERKLEY AVE
APT. C
City LANSDOWNE
State PA
Zip Code 19050-1332

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Taxonomy Information

Taxonomy Code 163WG0600X
Grouping Nursing Service Providers
Classification Registered Nurse
Specialization Gerontology

Taxonomy Definition

Definition to come...

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NPI Name Taxonomy Address Enumeration
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Competitor

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City LANSDOWNE
Zip Code 19050

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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