Provider Demographics
NPI:1114224169
Name:HURST, STEPHANIE ANN (DNP, APRN)
Entity Type:Individual
Prefix:MS
First Name:STEPHANIE
Middle Name:ANN
Last Name:HURST
Suffix:
Gender:F
Credentials:DNP, APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:327 MEDICAL PARK DR 4 EAST
Mailing Address - Street 2:WVU HEALTHCARE OB/GYN
Mailing Address - City:BRIDGEPORT
Mailing Address - State:WV
Mailing Address - Zip Code:26330-9009
Mailing Address - Country:US
Mailing Address - Phone:304-848-2150
Mailing Address - Fax:304-848-2153
Practice Address - Street 1:327 MEDICAL PARK DR 4 EAST
Practice Address - Street 2:WVU HEALTHCARE OB/GYN
Practice Address - City:BRIDGEPORT
Practice Address - State:WV
Practice Address - Zip Code:26330-9009
Practice Address - Country:US
Practice Address - Phone:304-848-2150
Practice Address - Fax:304-848-2153
Is Sole Proprietor?:No
Enumeration Date:2011-02-25
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVAPRN107702363LP0808X
TX791406367A00000X
GARN148311367A00000X
WVAPRN81471367A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367A00000XPhysician Assistants & Advanced Practice Nursing ProvidersAdvanced Practice Midwife
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health