Healthcare Provider Details

I. General information

NPI: 1144988304
Provider Name (Legal Business Name): BRIANNA L HURTADO FNP-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/06/2021
Last Update Date: 06/18/2025
Certification Date: 06/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 N INTERSTATE 35
AUSTIN TX
78722-2322
US

IV. Provider business mailing address

2901 N INTERSTATE 35
AUSTIN TX
78722-2322
US

V. Phone/Fax

Practice location:
  • Phone: 512-232-3900
  • Fax: 512-471-1455
Mailing address:
  • Phone: 512-232-3900
  • Fax: 512-471-1455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number1056595
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number1056595
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: