Healthcare Provider Details

I. General information

NPI: 1649167958
Provider Name (Legal Business Name): DANICA MORGAN HURLEY APRN, FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/19/2025
Last Update Date: 11/13/2025
Certification Date: 11/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

125 PARKER HILL AVE STE 2
BOSTON MA
02120-2865
US

IV. Provider business mailing address

439 GALLIVAN BLVD
BOSTON MA
02124-5230
US

V. Phone/Fax

Practice location:
  • Phone: 617-754-5000
  • Fax:
Mailing address:
  • Phone: 207-737-9069
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2316046
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: