Individual
ANGIE HURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2617 SHEFFIELD DR, BLACKSBURG, VA 24060-8271
(540) 953-2210
Mailing address
2617 SHEFFIELD DR, BLACKSBURG, VA 24060-8271
(540) 953-2210
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110001990
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0110001990
STATE LICENSE
VA
Enumeration date
11/01/2006
Last updated
11/08/2013
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