Provider Demographics
NPI:1962840793
Name:KURCZESKI, HOPE E (PMHNP-BC)
Entity Type:Individual
Prefix:
First Name:HOPE
Middle Name:E
Last Name:KURCZESKI
Suffix:
Gender:F
Credentials:PMHNP-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 N CENTRAL AVE STE 400
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85012-2929
Mailing Address - Country:US
Mailing Address - Phone:602-462-1132
Mailing Address - Fax:844-710-6896
Practice Address - Street 1:6151-6153 W OLIVE AVE
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85302-4598
Practice Address - Country:US
Practice Address - Phone:602-685-6000
Practice Address - Fax:602-389-3599
Is Sole Proprietor?:No
Enumeration Date:2013-06-14
Last Update Date:2020-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZRN107173163WP0808X
AZAP4971363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health
No163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health