Healthcare Provider Details

I. General information

NPI: 1285343640
Provider Name (Legal Business Name): PAMELA JEAN HURLEY AGACNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: PAMELA JEAN BEYER RN

II. Dates (important events)

Enumeration Date: 11/15/2022
Last Update Date: 11/15/2022
Certification Date: 11/14/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7250 PARKWAY DR STE 500
HANOVER MD
21076-1343
US

IV. Provider business mailing address

3345 CANNONCADE CT
CHESAPEAKE BEACH MD
20732-4107
US

V. Phone/Fax

Practice location:
  • Phone: 410-999-1130
  • Fax:
Mailing address:
  • Phone: 443-624-0298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License NumberR186165
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: