Provider Demographics
NPI:1538920285
Name:TALBURT, HILLARY DIANE (RN)
Entity type:Individual
Prefix:
First Name:HILLARY
Middle Name:DIANE
Last Name:TALBURT
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:HILLARY
Other - Middle Name:DIANE
Other - Last Name:AKERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2932 S MARLAN AVE
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:65804-3951
Mailing Address - Country:US
Mailing Address - Phone:417-894-3665
Mailing Address - Fax:
Practice Address - Street 1:1400 WEWATTA ST STE 350
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80202-5553
Practice Address - Country:US
Practice Address - Phone:303-566-7161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-19
Last Update Date:2024-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012021875163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse