Individual
NICHOLAS HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MS
Contact information
Practice address
900 N ORANGE ST STE 202, MISSOULA, MT 59802-2951
(406) 377-3362
Mailing address
PO BOX 12, LIBERTY LAKE, WA 99019-0012
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
9460245-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
9460245-1205
UT
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
MED-PHYS-LIC-121870
MT
Other
Enumeration date
03/21/2013
Last updated
06/15/2023
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