Provider Demographics
NPI:1336958016
Name:HURDEN, RACHEL LYNN (MSN, CRNP)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYNN
Last Name:HURDEN
Suffix:
Gender:F
Credentials:MSN, CRNP
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:EDWARDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:143 KAVKAZ PL
Mailing Address - Street 2:
Mailing Address - City:BUENA
Mailing Address - State:NJ
Mailing Address - Zip Code:08310-1604
Mailing Address - Country:US
Mailing Address - Phone:609-204-8847
Mailing Address - Fax:
Practice Address - Street 1:3401 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4319
Practice Address - Country:US
Practice Address - Phone:609-204-8847
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-06
Last Update Date:2025-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR20798900163W00000X
PARN708371163W00000X
PANPPA065911363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No163W00000XNursing Service ProvidersRegistered Nurse