Individual
PATRICK HIRST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRNP
Contact information
Practice address
909 WALNUT ST, PHILADELPHIA, PA 19107-5211
(215) 955-6215
Mailing address
1269 N DOVER ST, PHILADELPHIA, PA 19121-4522
(412) 628-0110
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
SP028986
PA
363LA2100X
Acute Care Nurse Practitioner
Primary
SP028986
PA
Other
Enumeration date
02/26/2024
Last updated
04/24/2026
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