Provider Demographics
NPI:1871245910
Name:HURST, LAUREL A (APRN-CNP)
Entity Type:Individual
Prefix:
First Name:LAUREL
Middle Name:A
Last Name:HURST
Suffix:
Gender:F
Credentials:APRN-CNP
Other - Prefix:
Other - First Name:LAUREL
Other - Middle Name:MYERS
Other - Last Name:HURST
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:APRN-CNP
Mailing Address - Street 1:6545 MARKET AVE N STE 100
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44721-2430
Mailing Address - Country:US
Mailing Address - Phone:330-227-8333
Mailing Address - Fax:
Practice Address - Street 1:33140 AURORA RD
Practice Address - Street 2:STE 3 PMB1012
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-3650
Practice Address - Country:US
Practice Address - Phone:330-227-8333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-20
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.0031771363LP0808X
OH485210390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health