Individual
RYAN NICHOLAS HURST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
200 HAWTHORNE LN, CHARLOTTE, NC 28204-2515
(704) 384-4000
Mailing address
6451 SUMMERLIN PL, CHARLOTTE, NC 28226-7537
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
288732
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
6721
NC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2019
Last updated
09/17/2025
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