Individual provider · Type 1 NPI

Amanda Rose Lee Hurst

Nurse Practitioner · Centerville, OH

NPI number 1902791676 Active

Practice location

5810 Wilmington Pike
Centerville, OH 45459-7004

Mailing address

116 Lariat Dr
Harvest, AL 35749-8702

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner Primary 363L00000X1-174204 (AL)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1902791676

Amanda Rose Lee Hurst's National Provider Identifier is 1902791676, issued on Jun 11, 2025. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Centerville, OH. The record was last updated on Jun 11, 2025.