Healthcare Provider Details

I. General information

NPI: 1255024774
Provider Name (Legal Business Name): ERIKA MARLENE HURTADO ARNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/31/2023
Last Update Date: 06/06/2024
Certification Date: 06/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

933 RED APPLE RD
WENATCHEE WA
98801-3370
US

IV. Provider business mailing address

5321 MAJESKA LN
CASHMERE WA
98815-9736
US

V. Phone/Fax

Practice location:
  • Phone: 509-433-3203
  • Fax:
Mailing address:
  • Phone: 509-387-0058
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberAP61438016
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: