Individual
STACI HURT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNP
Contact information
Practice address
510 20TH ST S, FOT1060, BIRMINGHAM, AL 35233-2028
(205) 934-7170
Mailing address
1720 2ND AVE S, FOT1060, BIRMINGHAM, AL 35233-1806
(205) 934-7170
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1-130882
AL
363LG0600X
Gerontology Nurse Practitioner
1-130882
AL
363LP2300X
Primary Care Nurse Practitioner
1-130882
AL
Other
Enumeration date
10/15/2015
Last updated
10/15/2015
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