Provider Demographics
NPI:1447555941
Name:HURLEY, CATHERINE L
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:L
Last Name:HURLEY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:HURLEY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:ARNP
Mailing Address - Street 1:985 SR 436
Mailing Address - Street 2:
Mailing Address - City:CASSELBERRY
Mailing Address - State:FL
Mailing Address - Zip Code:32707
Mailing Address - Country:US
Mailing Address - Phone:407-831-5252
Mailing Address - Fax:
Practice Address - Street 1:900 SPRINGWOOD DR
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32839-1318
Practice Address - Country:US
Practice Address - Phone:407-429-1065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLARNP3201402363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLARNP3201402OtherLICENSE
FL1447555941OtherNPI
FLP00960449OtherRAILROAD MEDICARE
FL1447555941OtherNPI
FLEP568YMedicare PIN
FLEP568ZMedicare PIN