Individual
LEAH HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
9184 BUCKLEY HALL RD, MATHEWS, VA 23109-2309
(804) 725-0100
Mailing address
1783 BUCKLEY HALL RD, DUTTON, VA 23050-9746
(804) 815-3492
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0024178771
VA
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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