Healthcare Provider Details

I. General information

NPI: 1134899750
Provider Name (Legal Business Name): DANIELLE J HURLEY FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DANIELLE J KENT APRN

II. Dates (important events)

Enumeration Date: 09/15/2021
Last Update Date: 11/15/2023
Certification Date: 11/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

86 TAUNTON ST
PLAINVILLE MA
02762-2131
US

IV. Provider business mailing address

360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH NH
03801-7105
US

V. Phone/Fax

Practice location:
  • Phone: 508-928-5211
  • Fax:
Mailing address:
  • Phone: 603-410-6700
  • Fax: 603-319-8308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberRN2301924
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code363L00000X
TaxonomyNurse Practitioner
License NumberRN2301924
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: