Provider Demographics
NPI:1720745417
Name:HURLBUT, KIRSTEN MURPHY (DNP)
Entity type:Individual
Prefix:
First Name:KIRSTEN
Middle Name:MURPHY
Last Name:HURLBUT
Suffix:
Gender:F
Credentials:DNP
Other - Prefix:
Other - First Name:KIRSTEN
Other - Middle Name:MURPHY
Other - Last Name:SPICHIGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DNP
Mailing Address - Street 1:844 N 29TH ST APT 118
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19130-1140
Mailing Address - Country:US
Mailing Address - Phone:201-956-4896
Mailing Address - Fax:
Practice Address - Street 1:3500 CIVIC CENTER BLVD
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19104-4395
Practice Address - Country:US
Practice Address - Phone:267-432-4338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-17
Last Update Date:2025-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA202120772363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics