Individual
MISS COLLEEN ANN HURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
1001 MAIN ST FL 4, BUFFALO, NY 14203-1009
(716) 323-0220
(716) 323-0293
Mailing address
1001 MAIN ST FL 5, BUFFALO, NY 14203-1009
(716) 323-0220
(716) 323-0293
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
F380834
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0002670301
UNIVERA
—
01
—
000560217002
BC/BS
—
05
—
0014387840001
—
PA
05
—
01907280
—
NY
01
—
051006000085
FIDELIS
—
01
—
4513051
IHA
—
Enumeration date
06/27/2006
Last updated
12/31/2020
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