Healthcare Provider Details

I. General information

NPI: 1316696669
Provider Name (Legal Business Name): JOSHUA DAVID KURTZ APRN
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/23/2022
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1090 BEECHER XING N
COLUMBUS OH
43230-4566
US

IV. Provider business mailing address

1090 BEECHER XING N STE A
COLUMBUS OH
43230-4566
US

V. Phone/Fax

Practice location:
  • Phone: 614-392-5336
  • Fax:
Mailing address:
  • Phone: 614-392-5336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2200X
TaxonomyAdult Health Nurse Practitioner
License NumberAPRN.CNP.0031944
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN.451063
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: