Theresa M Durley is a Family in Marquette, Michigan. Theresa M Durley practices all healthcare services and medical treatments related to Family. The NPI Number for Theresa M Durley is 1194707448. The last update date is 2019-02-14.
Theresa M Durley's current location address is 1401 Presque Isle Avenue, Marquette, Michigan. You can contact this provider via phone number 9062272355 and fax number 9062272332. The mailing address for Theresa M Durley is 1401 Presque Isle Avenue, Marquette, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theresa M Durley |
|---|---|
| Address | 1401 Presque Isle Avenue, Marquette, Michigan |
| Phone Number | 9062272355 |
| Fax Number | 9062272332 |
| Sole Proprietor | Y |
| Credentials | NP |
NPI Number Detail
| NPI Number | 1194707448 |
|---|---|
| Provider Enumeration Date | 2005-11-14 |
| Last Updated Date | 2019-02-14 |
Provider Mailing Address Detail
| Address | 1401 Presque Isle Avenue |
|---|---|
| City | Marquette |
| State | Michigan (MI) |
| Post Code | 49855 |
| Phone Number | 9062272355 |
| Fax Number | 9062272332 |
Provider's Primary Taxonomy Detail
| Speciality | Family |
|---|---|
| Taxonomy | 363Lf0000X |
| Licence No | 4704131080 |
|
Definition: An advanced practice registered nurse expert in primary healthcare for patients of all ages. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 104654110 | MI | -- | |
| 44337600 | WI | WISC MEDICAID PIN | |
| TD131080 | MI | BLUESHIELD PIN |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Theresa M Durley by the Centers for Medicare & Medicaid Services?
The Theresa M Durley has been issued the NPI (National Provider Identifier) 1194707448, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Theresa M Durley?
The Theresa M Durley is physically situated at 1401 Presque Isle Avenue, in the city of Marquette, state of MI, with the postal code 49855.
What is Theresa M Durley's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Theresa M Durley is Family, and the corresponding taxonomy classification code for this specialized field is 363Lf0000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194707448 to Theresa M Durley?
The Centers for Medicare & Medicaid Services assigned the 1194707448 to Theresa M Durley on 2005-11-14.
As of what date was the information regarding Theresa M Durley, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Theresa M Durley, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-02-14.