LISA GAY HURLEY (NPI# 1508132333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508132333 |
| Entity Type | Individual |
| Full Name | LISA GAY HURLEY |
| Other Name | LISA GAY CROASDELL |
| Credential | NP |
| Practice Address |
1465 E Parkdale Ave Manistee MI 49660-9709 |
| Mailing Address |
10850 E Traverse Hwy Suite 4400 Traverse City MI 49684-1364 |
| Practice Telephone | 2313981000 |
| Practice Fax Number | 9893401214 |
| Mailing Telephone | 2313566800 |
| Mailing Fax Number | 9893401214 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2016-10-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4704225641 | MI | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841769643 | Lisa Hurley | Social Worker | 235 W Central St, Natick, MA 01760-3770 | 2018-11-21 |
| Street Address |
1465 E PARKDALE AVE |
| City | MANISTEE |
| State | MI |
| Zip Code | 49660-9709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598709412 | John Raymond Md PC | Radiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2006-06-15 |
| 1922621762 | Lisa Marie Shoemaker | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2020-05-27 |
| 1639715873 | Madison Marie Wisneski | Physician Assistant | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2019-11-22 |
| 1053874792 | Jesse Leah Keson | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2019-04-10 |
| 1477030476 | Ecs Lakeshore PC | Anesthesiology | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-07-23 |
| 1265934673 | Sally Elizabeth Somsel | Physical Therapist | 1465 E Parkdale Ave, Manistee, MI 49660 | 2018-03-01 |
| 1871094466 | Lauren Elizabeth Welsh | Physical Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-28 |
| 1518468669 | Annette Sue Hart | Occupational Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-23 |
| 1861993917 | Kristen King | Occupational Therapist | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2018-02-23 |
| 1043731979 | Benjamin S Long | Emergency Medicine | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2017-06-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083192306 | Margaret R Batzer | Acupuncturist | 352 1st St, Manistee, MI 49660 | 2018-07-30 |
| 1821590373 | Esther Sigurdardottir | Physical Therapist | 1465 E. Parkdale Av, Manistee, MI 49660 | 2018-03-01 |
| 1104328657 | Bryan Keith Kidd | Physical Therapist | 1465 Parkdale Avenue, Manistee, MI 49660 | 2018-03-01 |
| 1790153799 | Deborah Ann Brandt | Registered Nurse | 318 River Street, Friends Who Care, Manistee, MI 49660 | 2015-09-08 |
| 1265811624 | Joyce Eileen Copeland | Assisted Living Facility | 3644 Chippewa Hwy, Manistee, MI 49660 | 2015-05-19 |
| 1275927931 | Usv Optical Inc. | Eyewear Supplier (Equipment, not the service) | 16 Caberfae Hwy, Manistee, MI 49660 | 2015-03-20 |
| 1518244912 | Mara Lane Mckinley | Nurse Practitioner | 1465 E. Parkdale Ave3., Manistee, MICHIGAN 49660 | 2011-11-14 |
| 1477749406 | Catherine Imelda Oertel | Social Worker | 2198 Us 31 South, Manistee, MI 49660 | 2007-09-24 |
| 1811109051 | Goodwill Optical Inc | Optometrist | 282 12th St, Manistee, MI 49660 | 2007-05-03 |
| 1144364381 | Layne Christopher Godzina | Dentist | 422 First Street, Manistee, MI 49660 | 2007-02-19 |
| Find all providers in zip 49660 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104323062 | Jennifer Rebecca Dalton | Nurse Practitioner | 1500 Caberfae Hwy, Manistee, MI 49660-8902 | 2018-04-09 |
| 1518244912 | Mara Lane Mckinley | Nurse Practitioner | 1465 E. Parkdale Ave3., Manistee, MICHIGAN 49660 | 2011-11-14 |
| 1922621762 | Lisa Marie Shoemaker | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2020-05-27 |
| 1053874792 | Jesse Leah Keson | Nurse Practitioner | 1465 E Parkdale Ave, Manistee, MI 49660-9709 | 2019-04-10 |
| 1225529019 | Keri Ann Foster | Nurse Practitioner | 2198 Us 31 S, Manistee, MI 49660-9618 | 2018-05-29 |
| 1023529260 | Tracy Robinson | Nurse Practitioner | 2198 Us 31 S, Manistee, MI 49660-9618 | 2017-10-16 |
| 1700305661 | Renee Dorr | Nurse Practitioner | 2840 Orchard Hwy, Manistee, MI 49660-9754 | 2017-09-12 |
| 1194139527 | Stacey Bonecutter | Nurse Practitioner | 1806 E Parkdale Ave, Ste 3, Manistee, MI 49660-9364 | 2014-06-13 |
| 1326361619 | Melissa Ann Fleszar | Nurse Practitioner | 2198 Us 31 S, Manistee, MI 49660-9618 | 2010-03-01 |
| 1902845795 | Stephanie Ann Smart | Nurse Practitioner | 2198 Us 31 S, Manistee, MI 49660-9618 | 2006-06-06 |
| Find all providers in MANISTEE | ||||
Please comment or provide details below to improve the information on LISA GAY HURLEY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.