Individual
STACEY HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1449 NW 128TH ST STE 100, CLIVE, IA 50325-7425
(515) 358-9600
(515) 358-9650
Mailing address
PO BOX 1475, DES MOINES, IA 50305-1475
(515) 358-9600
(515) 358-9650
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
A101764
IA
Other
Enumeration date
01/07/2019
Last updated
11/25/2019
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