Healthcare Provider Details

I. General information

NPI: 1770417776
Provider Name (Legal Business Name): ERICA HURD APRN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ERICA MORAN

II. Dates (important events)

Enumeration Date: 06/12/2026
Last Update Date: 08/11/2026
Certification Date: 08/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 1200
PLEASANT GROVE UT
84062-1200
US

IV. Provider business mailing address

PO BOX 914
PLEASANT GROVE UT
84062-0914
US

V. Phone/Fax

Practice location:
  • Phone: 800-640-3451
  • Fax:
Mailing address:
  • Phone: 800-640-3451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License Number11048338
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: