Provider Demographics
NPI:1568714319
Name:HURTT, MELANIE CHANEL
Entity Type:Individual
Prefix:MISS
First Name:MELANIE
Middle Name:CHANEL
Last Name:HURTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2701 HOMESTEAD RD APT 315
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-8754
Mailing Address - Country:US
Mailing Address - Phone:252-425-1106
Mailing Address - Fax:
Practice Address - Street 1:2701 HOMESTEAD RD APT 315
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27516-8754
Practice Address - Country:US
Practice Address - Phone:252-425-1106
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-03
Last Update Date:2012-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician