Healthcare Provider Details

I. General information

NPI: 1033924741
Provider Name (Legal Business Name): MICHELLE HURLEY
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/10/2025
Last Update Date: 02/10/2025
Certification Date: 02/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14337 EUCLID AVE
EAST CLEVELAND OH
44112-3401
US

IV. Provider business mailing address

14337 EUCLID AVE
EAST CLEVELAND OH
44112-3401
US

V. Phone/Fax

Practice location:
  • Phone: 216-284-3255
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: