Provider Demographics
NPI:1083091292
Name:HURST, SUNNI MICHELLE (CRNA)
Entity Type:Individual
Prefix:
First Name:SUNNI
Middle Name:MICHELLE
Last Name:HURST
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:SUNNI
Other - Middle Name:MICHELLE
Other - Last Name:DUNN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:CRNA
Mailing Address - Street 1:5400 CHENONCEAU BLVD APT 605
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72223-4747
Mailing Address - Country:US
Mailing Address - Phone:870-270-3550
Mailing Address - Fax:
Practice Address - Street 1:4301 W MARKHAM ST # 515
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-7101
Practice Address - Country:US
Practice Address - Phone:501-603-1465
Practice Address - Fax:501-603-1421
Is Sole Proprietor?:No
Enumeration Date:2015-04-27
Last Update Date:2024-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ARR088875367500000X
TN24289367500000X
ARC003088367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered