MEDICARE: BRIDGET HURLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner	APRN11022536	FL

General Provider Information

NPI Number	:	1306592498
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRIDGET HURLEY

Provider Business Mailing Address
First Line	:	108 SW MILBURN CIR
Second Line	:
City	:	PORT ST LUCIE
State	:	FL
Zip	:	34953-5501
Country	:	US
Telephone Number	:	404-692-8248
Fax Number	:

Provider Business Practice Location Address
First Line	:	2628 SE WILLOUGHBY BLVD
Second Line	:
City	:	STUART
State	:	FL
Zip	:	34994-4700
Country	:	US
Telephone Number	:	772-300-9047
Fax Number	:	772-273-6540

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2022
Last Update Date	:	06/02/2026

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Directions to “ BRIDGET HURLEY ” Practice Location

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