Healthcare Provider Details

I. General information

NPI: 1871245910
Provider Name (Legal Business Name): LAUREL A HURST APRN-CNP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LAUREL MYERS HURST APRN-CNP

II. Dates (important events)

Enumeration Date: 01/20/2022
Last Update Date: 04/11/2025
Certification Date: 04/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6150 ENTERPRISE PKWY STE 207
SOLON OH
44139-2755
US

IV. Provider business mailing address

6545 MARKET AVE N STE 100
CANTON OH
44721-2430
US

V. Phone/Fax

Practice location:
  • Phone: 330-227-8333
  • Fax: 833-523-2203
Mailing address:
  • Phone: 330-227-8333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberAPRN.CNP.0031771
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: