Provider Demographics
NPI:1376853424
Name:HURST, MARCIA (MSN, APRN, FNP-C)
Entity Type:Individual
Prefix:
First Name:MARCIA
Middle Name:
Last Name:HURST
Suffix:
Gender:F
Credentials:MSN, APRN, FNP-C
Other - Prefix:
Other - First Name:MARCIA
Other - Middle Name:
Other - Last Name:DELEON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:2669 CR 3329 #979
Mailing Address - Street 2:
Mailing Address - City:PEARSALL
Mailing Address - State:TX
Mailing Address - Zip Code:78061
Mailing Address - Country:US
Mailing Address - Phone:210-269-7109
Mailing Address - Fax:
Practice Address - Street 1:408 N GIRAUD
Practice Address - Street 2:
Practice Address - City:COTULLA
Practice Address - State:TX
Practice Address - Zip Code:78014-3113
Practice Address - Country:US
Practice Address - Phone:830-879-2279
Practice Address - Fax:855-606-6314
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP142462363LF0000X
TX624360163WX0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163WX0200XNursing Service ProvidersRegistered NurseOncology