Provider Demographics
NPI:1427015270
Name:HURM, AUTUMN D (RN, CNP, PNP, MSN)
Entity Type:Individual
Prefix:MRS
First Name:AUTUMN
Middle Name:D
Last Name:HURM
Suffix:
Gender:F
Credentials:RN, CNP, PNP, MSN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 BRIDLEWOOD TRCE
Mailing Address - Street 2:
Mailing Address - City:BATESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:47006-8897
Mailing Address - Country:US
Mailing Address - Phone:812-934-3140
Mailing Address - Fax:
Practice Address - Street 1:1632 STATE ROAD 46 E
Practice Address - Street 2:
Practice Address - City:BATESVILLE
Practice Address - State:IN
Practice Address - Zip Code:47006-8824
Practice Address - Country:US
Practice Address - Phone:844-827-1811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-26
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN28131137A163WP0200X
IN71000161A363LP0200X
OHRN 198028363LP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0200XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPediatrics
No163WP0200XNursing Service ProvidersRegistered NursePediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0005809Medicaid