Eugene Hurst, LPN
Licensed Practical Nurse in Vero Beach, FL. Individual provider (NPI-1).
NPI number1497373823
StatusActive
Last updated in NPPESJul 13, 2020
Details
- NPI
- 1497373823
- Entity type
- Individual (NPI-1)
- Name
- Eugene Hurst
- Credential
- LPN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 13, 2020
- Certification date
- Jul 13, 2020
- Last updated
- Jul 13, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 164W00000X | Licensed Practical Nurse | PN5192137 | FL | Yes |
Practice location
1515 Indian River Blvd Ste A236Vero Beach, FL 32960-7110
Phone 772-242-4596
Mailing address
715 61st AveVero Beach, FL 32968-9258
Phone 772-453-7315
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