Healthcare Provider Details
I. General information
NPI: 1720745417
Provider Name (Legal Business Name): KIRSTEN MURPHY HURLBUT DNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 11/17/2021
Last Update Date: 08/14/2025
Certification Date: 08/08/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3500 CIVIC CENTER BLVD
PHILADELPHIA PA
19104-4395
US
IV. Provider business mailing address
844 N 29TH ST APT 118
PHILADELPHIA PA
19130-1140
US
V. Phone/Fax
- Phone: 267-432-4338
- Fax:
- Phone: 201-956-4896
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363LP0200X |
| Taxonomy | Pediatric Nurse Practitioner |
| License Number | 202120772 |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: