Healthcare Provider Details

I. General information

NPI: 1285513457
Provider Name (Legal Business Name): MELISSA HURD MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/01/2025
Last Update Date: 09/01/2025
Certification Date: 08/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10401 W THUNDERBIRD BLVD
SUN CITY AZ
85351-3004
US

IV. Provider business mailing address

25519 S 185TH AVE
BUCKEYE AZ
85326-5743
US

V. Phone/Fax

Practice location:
  • Phone: 623-832-6000
  • Fax:
Mailing address:
  • Phone: 623-688-7978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number159601
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: