Provider Demographics
NPI:1407016041
Name:HURD, LINDA (RN, CRNP)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:HURD
Suffix:
Gender:F
Credentials:RN, CRNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3400 CIVIC CENTER BLVD
Mailing Address - Street 2:9TH FLOOR MAIN BUILDING- ROOM 9315
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19104-4306
Mailing Address - Country:US
Mailing Address - Phone:215-590-9057
Mailing Address - Fax:215-590-3831
Practice Address - Street 1:3400 CIVIC CENTER BLVD
Practice Address - Street 2:9TH FLOOR MAIN BUILDING- ROOM 9315
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4306
Practice Address - Country:US
Practice Address - Phone:215-590-9057
Practice Address - Fax:215-590-3831
Is Sole Proprietor?:No
Enumeration Date:2008-06-16
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAVP001325D163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics