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NPI Code Detail

MEDICARE: MRS. LINDA HURST FNP

MEDICARE: MRS. LINDA HURST FNP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363LW0102XWomen's Health Nurse PractitionerN227101CA

General Provider Information

NPI Number : 1427059849
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA HURST FNP
Provider Business Mailing Address
First Line : 7272 WEST LN
Second Line :
City : STOCKTON
State : CA
Zip : 95210-3388
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 7373 WEST LANE
Second Line :
City : STOCKTON
State : CA
Zip : 95210-3377
Country : US
Telephone Number : 209-476-3405
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/09/2005
Last Update Date : 07/08/2007

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