Healthcare Provider Details

I. General information

NPI: 1255124376
Provider Name (Legal Business Name): ANNE HURD NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1614 25TH ST
BEDFORD IN
47421-5000
US

IV. Provider business mailing address

24 CINNAMON CT
BROWNSBURG IN
46112-1758
US

V. Phone/Fax

Practice location:
  • Phone: 812-277-0118
  • Fax:
Mailing address:
  • Phone: 317-779-7895
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0200X
TaxonomyPediatric Nurse Practitioner
License Number71016862A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number28144110A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: