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Individual

ANDRE CARL HURST

Active
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Individual

ANDRE CARL HURST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CPNP

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
APRN.CNP.0028577
OH
363LP0200X
Pediatric Nurse Practitioner
Primary
0028577
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0437421
OH
Enumeration date
03/25/2021
Last updated
08/05/2026
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