Individual
CHRISTINE HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
1345 S GROWERS DR, MILLIKEN, CO 80543-8473
(812) 767-1756
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
1635450
CO
163WG0000X
General Practice Registered Nurse
28179422A
IN
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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