Provider Demographics
NPI:1720257579
Name:HURLEY, MARGARET MARY (RN)
Entity Type:Individual
Prefix:
First Name:MARGARET
Middle Name:MARY
Last Name:HURLEY
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 MIMA CIR
Mailing Address - Street 2:
Mailing Address - City:FAIRPORT
Mailing Address - State:NY
Mailing Address - Zip Code:14450-9774
Mailing Address - Country:US
Mailing Address - Phone:585-223-9539
Mailing Address - Fax:
Practice Address - Street 1:47 LOCHNAVAR PKWY
Practice Address - Street 2:
Practice Address - City:PITTSFORD
Practice Address - State:NY
Practice Address - Zip Code:14534-1429
Practice Address - Country:US
Practice Address - Phone:585-383-4442
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY346764-1163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse