Provider Demographics
NPI:1790412310
Name:HURD, SIMONE L
Entity type:Individual
Prefix:
First Name:SIMONE
Middle Name:L
Last Name:HURD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25585 CHATWORTH DR
Mailing Address - Street 2:
Mailing Address - City:EUCLID
Mailing Address - State:OH
Mailing Address - Zip Code:44117-1843
Mailing Address - Country:US
Mailing Address - Phone:216-457-2735
Mailing Address - Fax:
Practice Address - Street 1:1542 E 248TH ST
Practice Address - Street 2:
Practice Address - City:EUCLID
Practice Address - State:OH
Practice Address - Zip Code:44117-1236
Practice Address - Country:US
Practice Address - Phone:216-315-0442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-03
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker