Individual
EMILY D HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
11115 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 266-5400
(260) 425-5715
Mailing address
11109 PARKVIEW PLAZA DR # 117, FORT WAYNE, IN 46845-1701
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
71004222A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2012008291
ANCC CERTIFICATION
—
01
—
28168275A
INDIANA STATE NURSING BOARD-REGISTERED NURSE
IN
01
—
5595716027
DOT
IN
01
—
71004222A
INDIANA STATE NURSING BOARD-APN PRESCRIPTIVE AUTHORITY
IN
01
—
71004222B
INDIANA STATE NURSING BOARD-CSR PRESCRIPTIVE AUTHORITY
IN
Enumeration date
10/03/2012
Last updated
05/01/2025
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