Healthcare Provider Details

I. General information

NPI: 1447573605
Provider Name (Legal Business Name): DEBBY HURLBURT BSN, SANE-A
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2010
Last Update Date: 04/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3925 TUDOR CENTRE DR
ANCHORAGE AK
99508-5931
US

IV. Provider business mailing address

3760 PIPER ST SUITE 1060
ANCHORAGE AK
99508-4665
US

V. Phone/Fax

Practice location:
  • Phone: 907-212-8544
  • Fax:
Mailing address:
  • Phone: 907-212-6522
  • Fax: 907-212-6593

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number8707
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: