Provider Demographics
NPI:1417529405
Name:HURLEY, ALEXANDRIA DAWES (BSN, RN)
Entity Type:Individual
Prefix:
First Name:ALEXANDRIA
Middle Name:DAWES
Last Name:HURLEY
Suffix:
Gender:F
Credentials:BSN, RN
Other - Prefix:MISS
Other - First Name:ALEXANDRIA
Other - Middle Name:DAWES
Other - Last Name:HURLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:BSN, RN
Mailing Address - Street 1:9 BELLE MEADE DR SW
Mailing Address - Street 2:
Mailing Address - City:ROME
Mailing Address - State:GA
Mailing Address - Zip Code:30165-8487
Mailing Address - Country:US
Mailing Address - Phone:706-676-2325
Mailing Address - Fax:
Practice Address - Street 1:9 BELLE MEADE DR SW
Practice Address - Street 2:
Practice Address - City:ROME
Practice Address - State:GA
Practice Address - Zip Code:30165-8487
Practice Address - Country:US
Practice Address - Phone:706-676-2325
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-11
Last Update Date:2022-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN269395163W00000X
NC6823367500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367500000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Anesthetist, Certified Registered
No163W00000XNursing Service ProvidersRegistered Nurse