Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 51459 | CO |
Y | 111NI0900X | Internist | 51459 | CO |
N | 207RA0401X | Internist - Addiction Medicine | CO51459 | CO |
N | 207RI0200X | Infectious Disease | CO51459 | CO |
NPI | 1649407529 |
---|---|
Provider Name | Hermione Jane Hurley |
First Address | Denver, CO 80204-4597 |
Second Address | Denver, CO 80204-4597 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2009 |
Last Update Date | 27/04/2021 |