MEDICARE: BRIANNA HURDLE MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	332265	LA

General Provider Information

NPI Number	:	1730717505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIANNA HURDLE MD

Provider Business Mailing Address
First Line	:	3032 TOULOUSE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-4040
Country	:	US
Telephone Number	:	225-572-1237
Fax Number	:

Provider Business Practice Location Address
First Line	:	3032 TOULOUSE ST
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70119-4040
Country	:	US
Telephone Number	:	225-572-1237
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/29/2020
Last Update Date	:	12/16/2023

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