Healthcare Provider Details

I. General information

NPI: 1487524336
Provider Name (Legal Business Name): KRISTIN AMY HURL RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2025
Last Update Date: 11/06/2025
Certification Date: 11/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9095 RIO SAN DIEGO DR STE 425
SAN DIEGO CA
92108-1679
US

IV. Provider business mailing address

2664 MOBLEY ST
SAN DIEGO CA
92123-3031
US

V. Phone/Fax

Practice location:
  • Phone: 858-455-5524
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WI0500X
TaxonomyInfusion Therapy Registered Nurse
License Number95050163
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License Number95050163
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: