Provider Demographics
NPI:1043636152
Name:HIRST, LAUREN MICHELLE (CNM, WHNP)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:MICHELLE
Last Name:HIRST
Suffix:
Gender:F
Credentials:CNM, WHNP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:MICHELLE
Other - Last Name:CZARNIAK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8154 CASCADA ISLES DR
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8574
Mailing Address - Country:US
Mailing Address - Phone:407-697-9922
Mailing Address - Fax:
Practice Address - Street 1:3039 JOHNSON ST
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33021-5536
Practice Address - Country:US
Practice Address - Phone:954-430-7777
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-13
Last Update Date:2014-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP9328934176B00000X
FLCNM1938282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No282N00000XHospitalsGeneral Acute Care Hospital