Provider Demographics
NPI:1770633836
Name:HURST, MELANIE N (FNPC)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:N
Last Name:HURST
Suffix:
Gender:F
Credentials:FNPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 159
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08007-0159
Mailing Address - Country:US
Mailing Address - Phone:888-982-8594
Mailing Address - Fax:888-982-8594
Practice Address - Street 1:41 E KINGS HWY
Practice Address - Street 2:
Practice Address - City:AUDUBON
Practice Address - State:NJ
Practice Address - Zip Code:08106-1216
Practice Address - Country:US
Practice Address - Phone:888-982-8594
Practice Address - Fax:888-982-8594
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEL10026358163W00000X
DELG-0000413363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
No163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE802128Medicare PIN