Healthcare Provider Details

I. General information

NPI: 1891850095
Provider Name (Legal Business Name): DONNA L HURWIT ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/27/2006
Last Update Date: 11/15/2022
Certification Date: 11/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

85 NW 168TH ST
NORTH MIAMI BEACH FL
33169-6053
US

IV. Provider business mailing address

16400 NW 2ND AVE STE 203
NORTH MIAMI BEACH FL
33169-6035
US

V. Phone/Fax

Practice location:
  • Phone: 305-509-9053
  • Fax: 786-780-2145
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberARNP1806762
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN1806762
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: