Nicole Hurtado, PA-C
Family Medicine in Dover, New Jersey
1396399747- Practice location
- 18 W Blackwell St, Dover, NJ 07801-3841
- Phone
- 973-328-3344
- Fax
- —
- Last updated
- April 13, 2026
Nicole Hurtado is a Family Medicine based in Dover, NJ. Nicole Hurtado practices in Dover, NJ and has the professional credentials of PA-C. The NPI Number for Nicole Hurtado is 1396399747 and holds a License No. PA102306 (MA). The current practice location address for Nicole Hurtado is 18 W Blackwell St, Dover, NJ 07801-3841 and can be reached out via phone at 973-328-3344.
Provider Profile Details
- NPI Number
- 1396399747
- Provider Name
- Nicole Hurtado
- Credential
- PA-C
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 18 W Blackwell St, Dover, NJ 07801-3841
- Phone Number
- 973-328-3344
- Primary Taxonomy
- Family Medicine · 207Q00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 24, 2019
- Last Update Date
- April 13, 2026
- Certification Date
- April 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 18 W Blackwell St
Dover, NJ 07801-3841 - City
- Dover
- State
- New Jersey
- Zip
- 07801-3841
- Phone Number
- 973-328-3344
Provider Business Mailing Address Details
- Address
- 22 Ward Ave
Butler, NJ 07405-1129 - City
- Butler
- State
- NJ
- Zip
- 07405-1129
License Information
- License Number (1)
- PA102306
- License State (1)
- MA
- Taxonomy (1)
- Physician Assistant · 363A00000X
- License Number (2)
- 25MP00535000
- License State (2)
- NJ
- Taxonomy (2)
- Family Medicine · 207Q00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Family Medicine providers near Dover, NJ
View all Family Medicine providers in Dover →Frequently Asked Questions
What is the NPI number of Nicole Hurtado, PA-C?
The NPI number of Nicole Hurtado, PA-C is 1396399747. It was assigned on July 24, 2019 and is currently active in the NPPES registry.
What is the specialty of Nicole Hurtado, PA-C?
Nicole Hurtado, PA-C is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number PA102306.
Where does Nicole Hurtado, PA-C practice?
The practice location is 18 W Blackwell St, Dover, NJ 07801-3841. The office can be reached at 973-328-3344 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1396399747 directly on the NPPES registry website.