Provider Demographics
NPI: | 1891850095 |
---|---|
Name: | HURWIT, DONNA L (ARNP) |
Entity type: | Individual |
Prefix: | |
First Name: | DONNA |
Middle Name: | L |
Last Name: | HURWIT |
Suffix: | |
Gender: | F |
Credentials: | ARNP |
Other - Prefix: | |
Other - First Name: | |
Other - Middle Name: | |
Other - Last Name: | |
Other - Suffix: | |
Other - Last Name Type: | |
Other - Credentials: | |
Mailing Address - Street 1: | 16400 NW 2ND AVE STE 203 |
Mailing Address - Street 2: | |
Mailing Address - City: | NORTH MIAMI BEACH |
Mailing Address - State: | FL |
Mailing Address - Zip Code: | 33169-6035 |
Mailing Address - Country: | US |
Mailing Address - Phone: | |
Mailing Address - Fax: | |
Practice Address - Street 1: | 85 NW 168TH ST |
Practice Address - Street 2: | |
Practice Address - City: | NORTH MIAMI BEACH |
Practice Address - State: | FL |
Practice Address - Zip Code: | 33169-6053 |
Practice Address - Country: | US |
Practice Address - Phone: | 305-509-9053 |
Practice Address - Fax: | 786-780-2145 |
Is Sole Proprietor?: | Yes |
Enumeration Date: | 2006-12-27 |
Last Update Date: | 2022-11-15 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
FL | ARNP1806762 | 363L00000X |
FL | APRN1806762 | 363LP0808X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 363LP0808X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner | Psychiatric/Mental Health |
No | 363L00000X | Physician Assistants & Advanced Practice Nursing Providers | Nurse Practitioner |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
FL | E8224X | Medicare UPIN |