Hurley, Theresa

Hurley, Theresa is an individual health care provider with primary practice located at 4241 Johnny Cake Ridge Rd , Eagan MN 55122-2235. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Hurley, Theresa can be contacted via phone (866) 389-2727.

Contact Information

Primary practice address
4241 Johnny Cake Ridge Rd Eagan MN 55122-2235
Phone: (866) 389-2727
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 2660 Minnesota
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X F0714534 Minnesota

Profile Details

NPI number 1689077232
LBN Legal business name Hurley, Theresa
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 26th, 2014
Last updated Apr 3rd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689077232 NPPES
Minnesota MEDICAID 1689077232

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