Provider Demographics
NPI:1376503565
Name:HURLEY, ROBIN ANNETTE (MD)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:ANNETTE
Last Name:HURLEY
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VAMC (MAILCODE 11M)
Mailing Address - Street 2:1601 BRENNER AVE
Mailing Address - City:SALISBURY
Mailing Address - State:NC
Mailing Address - Zip Code:28144
Mailing Address - Country:US
Mailing Address - Phone:704-638-3450
Mailing Address - Fax:704-638-3857
Practice Address - Street 1:VAMC (MAILCODE 11M)
Practice Address - Street 2:1601 BRENNER AVE
Practice Address - City:SALISBURY
Practice Address - State:NC
Practice Address - Zip Code:28144
Practice Address - Country:US
Practice Address - Phone:704-638-3450
Practice Address - Fax:704-638-3857
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXJ1694174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist