Healthcare Provider Details

I. General information

NPI: 1790450674
Provider Name (Legal Business Name): JOY HURD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JOY STANDEN APRN

II. Dates (important events)

Enumeration Date: 08/12/2021
Last Update Date: 08/12/2021
Certification Date: 08/11/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

850 COLUMBIA RD
WESTLAKE OH
44145-1493
US

IV. Provider business mailing address

232 RUSTIC HILL LN
AMHERST OH
44001-1961
US

V. Phone/Fax

Practice location:
  • Phone: 216-444-6601
  • Fax:
Mailing address:
  • Phone: 440-371-7925
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberCNP.026397
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: