Healthcare Provider Details

I. General information

NPI: 1447555941
Provider Name (Legal Business Name): CATHERINE L HURLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CATHERINE HURLEY ARNP

II. Dates (important events)

Enumeration Date: 01/14/2011
Last Update Date: 08/30/2023
Certification Date: 08/30/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SPRINGWOOD DR
ORLANDO FL
32839-1318
US

IV. Provider business mailing address

985 SR 436
CASSELBERRY FL
32707
US

V. Phone/Fax

Practice location:
  • Phone: 407-429-1065
  • Fax:
Mailing address:
  • Phone: 407-831-5252
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberARNP3201402
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: