Healthcare Provider Details

I. General information

NPI: 1942716246
Provider Name (Legal Business Name): DARWIN L HURST FNP
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2017
Last Update Date: 03/29/2021
Certification Date: 03/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1675 TALBOT ROAD
COLUMBIA FALLS MT
59912
US

IV. Provider business mailing address

PO BOX 24469
SEATTLE WA
98124-0469
US

V. Phone/Fax

Practice location:
  • Phone: 406-892-3208
  • Fax: 406-892-4497
Mailing address:
  • Phone: 406-752-3239
  • Fax: 406-752-3252

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number174056
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: