Provider Demographics
NPI:1063488310
Name:HURLEY, KRISTEN DAWN (CNP)
Entity Type:Individual
Prefix:
First Name:KRISTEN
Middle Name:DAWN
Last Name:HURLEY
Suffix:
Gender:F
Credentials:CNP
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Mailing Address - Street 1:2400 S MINNESOTA AVE
Mailing Address - Street 2:STE 100
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57105-3762
Mailing Address - Country:US
Mailing Address - Phone:605-322-7510
Mailing Address - Fax:605-322-6475
Practice Address - Street 1:1000 E 23RD ST
Practice Address - Street 2:STE. 200
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57105-2122
Practice Address - Country:US
Practice Address - Phone:605-322-3035
Practice Address - Fax:605-322-3036
Is Sole Proprietor?:No
Enumeration Date:2006-02-27
Last Update Date:2014-12-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
SDCP000443363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
SD248477OtherMIDLANDS CHOICE
SD45377OtherSANFORD HEALTH PLAN
SD4994353OtherBLUE CROSS
SD0122537OtherMEDICA
SD2391538OtherARAZ/ AMERICA'S PPO
MN285P3HUOtherCC SYSTEMS/ BLUE PLUS
SD57105AH07OtherWPS TRICARE
SD6828150Medicaid
NE46022474342Medicaid
SD678061045689OtherPREFERRED ONE
MN92411422911OtherPRIMEWEST
IA0536219Medicaid
SDHP58136OtherHEALTHPARTNERS
MN998138100Medicaid
MN285P3HUOtherBLUE CROSS
SD370624200OtherDEPT OF LABOR
SD9249262OtherDAKOTACARE
SD45377OtherSANFORD HEALTH PLAN
SD57105AH07OtherWPS TRICARE