Provider Demographics
NPI:1790355774
Name:HURST, JOHANA MARIE (RN)
Entity Type:Individual
Prefix:
First Name:JOHANA
Middle Name:MARIE
Last Name:HURST
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:JOHANA
Other - Middle Name:MARIE
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RN
Mailing Address - Street 1:16 PARK CIR
Mailing Address - Street 2:
Mailing Address - City:HINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02043-1227
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:16 PARK CIR
Practice Address - Street 2:
Practice Address - City:HINGHAM
Practice Address - State:MA
Practice Address - Zip Code:02043-1227
Practice Address - Country:US
Practice Address - Phone:703-463-1556
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0001271688163WP0200X
MARN2351951163WP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0200XNursing Service ProvidersRegistered NursePediatrics