Individual
SUEANN ISABELLA HURD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5450 FORT ST, TRENTON, MI 48183-4601
(734) 671-3877
Mailing address
26901 BEAUMONT BLVD, SOUTHFIELD, MI 48033-3849
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
4704244549
MI
363LA2100X
Acute Care Nurse Practitioner
Primary
4704244549
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0H28865
BLUE CROSS
MI
01
—
1144634403
GROUP NPI HENRY FORD WYANDOTTE
—
01
—
12427444
CAQH
—
Enumeration date
08/04/2012
Last updated
05/20/2025
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