Healthcare Provider Details

I. General information

NPI: 1801304415
Provider Name (Legal Business Name): MARIA HURT APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2018
Last Update Date: 01/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 E HILL AVE STE 290
KNOXVILLE TN
37915-2568
US

IV. Provider business mailing address

900 E HILL AVE STE 290
KNOXVILLE TN
37915-2568
US

V. Phone/Fax

Practice location:
  • Phone: 865-525-1540
  • Fax: 865-200-8390
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP2300X
TaxonomyPrimary Care Nurse Practitioner
License Number22247
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: