Most Relevant Information
Provider Data
| NPI Number: | 1003549486 |
| Provider Name: | MIRANDA MARIE HURLEY CRNA |
| Entity Type: | Individual |
| Taxonomy Code: | 367500000X |
| Specialty: | Nurse Anesthetist, Certified Registered |
| License Number: | 0001245298 |
Most Important Dates
| Enumeration Date: | 07/05/2022 |
| Last Updated: | 07/06/2022 |
Provider Practice Location
736 BATTLEFIELD BLVD N
CHESAPEAKE
VA
233204941
Practice Location Phone/Fax
| Phone: | 7573125246 |
| Fax: |
Provider Mailing Location
6225 N STATE HIGHWAY 161 STE 200
IRVING
TX
750382241
Provider Mailing Phone/Fax
| Phone: | 2146870001 |
| Fax: |