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NPI Code Detail

MEDICARE: LINDA A HURD CRNP

MEDICARE: LINDA A HURD CRNP
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
1363LA2200XAdult Health Nurse Practitioner26NN05844200NJ

General Provider Information

NPI Number : 1902884794
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA A HURD CRNP
Provider Business Mailing Address
First Line : 3624 MARKET STREET
Second Line : SUITE 560 W
City : PHILADELPHIA
State : PA
Zip : 19104-2617
Country : US
Telephone Number : 215-662-3958
Fax Number : 609-463-0957
Provider Business Practice Location Address
First Line : 1400 ROUTE 70 EAST
Second Line :
City : CHERRY HILL
State : NJ
Zip : 08034-2240
Country : US
Telephone Number : 856-216-0300
Fax Number : 609-463-0957
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2006
Last Update Date : 09/10/2010

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