Healthcare Provider Details

I. General information

NPI: 1316441496
Provider Name (Legal Business Name): ANNE MARIE HURLEY MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/22/2018
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4199 GATEWAY BLVD STE 2400
NEWBURGH IN
47630-7972
US

IV. Provider business mailing address

4199 GATEWAY BLVD STE 2400
NEWBURGH IN
47630-7972
US

V. Phone/Fax

Practice location:
  • Phone: 812-858-4610
  • Fax: 812-858-4611
Mailing address:
  • Phone: 812-858-4610
  • Fax: 812-858-4611

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number01100878A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101278842
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: