Individual
KELLY ANN HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
100 N ACADEMY AVE, DANVILLE, PA 17822-0001
(570) 271-8091
(570) 271-5879
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP026237
PA
363LN0000X
Neonatal Nurse Practitioner
SP026237
PA
Other
Enumeration date
09/08/2022
Last updated
02/10/2023
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