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Individual

CHRISTINE M HURT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, BC, FNP

Contact information

Practice address
875 STATE ROUTE 5, TIPTON, MO 65081-8441
(660) 433-5541
(660) 433-5717
Mailing address
103 DALE LN, CALIFORNIA, MO 65018-1158
(573) 796-4379

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
MO113714
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
429989510
MO
Enumeration date
06/04/2006
Last updated
09/21/2012
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