Provider Demographics
NPI:1891569406
Name:HURST, AMYRICLE MICHELE
Entity Type:Individual
Prefix:
First Name:AMYRICLE
Middle Name:MICHELE
Last Name:HURST
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1015 COMPASS WEST DR APT 6
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44515-3426
Mailing Address - Country:US
Mailing Address - Phone:330-447-5226
Mailing Address - Fax:
Practice Address - Street 1:1015 COMPASS WEST DR APT 6
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44515-3426
Practice Address - Country:US
Practice Address - Phone:330-447-5226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-14
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide