Individual
DENISE L HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6153 FULLER CT, ALEXANDRIA, VA 22310
(703) 342-4688
(703) 924-1114
Mailing address
6153 FULLER CT, ALEXANDRIA, VA 22310-2541
(703) 342-4688
(703) 924-1114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101052323
VA
207RC0000X
Cardiovascular Disease Physician
0101052323
VA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
0101052323
VA
Other
Enumeration date
12/09/2005
Last updated
09/07/2018
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