Provider Demographics
NPI:1346044732
Name:HURT, AUBREY LYNN
Entity type:Individual
Prefix:
First Name:AUBREY
Middle Name:LYNN
Last Name:HURT
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7308 ATWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89129-6253
Mailing Address - Country:US
Mailing Address - Phone:702-403-6042
Mailing Address - Fax:
Practice Address - Street 1:7308 ATWOOD AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89129-6253
Practice Address - Country:US
Practice Address - Phone:702-403-6042
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant