Provider Demographics
NPI:1942716246
Name:HURST, DARWIN L (FNP)
Entity Type:Individual
Prefix:
First Name:DARWIN
Middle Name:L
Last Name:HURST
Suffix:
Gender:M
Credentials:FNP
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 24469
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-0469
Mailing Address - Country:US
Mailing Address - Phone:406-752-3239
Mailing Address - Fax:406-752-3252
Practice Address - Street 1:1675 TALBOT ROAD
Practice Address - Street 2:
Practice Address - City:COLUMBIA FALLS
Practice Address - State:MT
Practice Address - Zip Code:59912
Practice Address - Country:US
Practice Address - Phone:406-892-3208
Practice Address - Fax:406-892-4497
Is Sole Proprietor?:No
Enumeration Date:2017-12-21
Last Update Date:2021-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT174056363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Single Specialty