Healthcare Provider Details

I. General information

NPI: 1457435638
Provider Name (Legal Business Name): FRANCES M HURLEY NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/25/2006
Last Update Date: 12/08/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

80 CONGRESS ST SUITE 104
SPRINGFIELD MA
01104-3564
US

IV. Provider business mailing address

80 CONGRESS ST SUITE 104
SPRINGFIELD MA
01104-3564
US

V. Phone/Fax

Practice location:
  • Phone: 413-732-0040
  • Fax:
Mailing address:
  • Phone: 413-732-0040
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number003447
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number187339
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: