Individual
AMANDA ROSE LEE HURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5810 WILMINGTON PIKE, CENTERVILLE, OH 45459-7004
(937) 701-7069
Mailing address
116 LARIAT DR, HARVEST, AL 35749-8702
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
1-174204
AL
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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