Individual
DANIELLE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
11800 E 12 MILE RD, WARREN, MI 48093-3472
(586) 573-5000
Mailing address
12815 WINDSOR CT, STERLING HEIGHTS, MI 48313-4176
(773) 908-3509
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
209012878
IL
363LG0600X
Gerontology Nurse Practitioner
209012878
IL
363LP2300X
Primary Care Nurse Practitioner
209012878
IL
Other
Enumeration date
11/19/2015
Last updated
10/30/2019
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