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Contact Information

THERESA M DURLEY, NP
1401 PRESQUE ISLE AVENUE
HEALTH CENTER - LOWER GRIES
MARQUETTE, MI49855
 Phone: 906-227-2355
 Fax: 906-227-2332
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family

363LF0000X 50 Nurse Practitioner
 

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for THERESA M DURLEY · (Female)

NPI # 1194707448
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 11/14/2005
Last updated 02/14/2019 - About 7 years ago
Sole proprietor 1 Yes
Identifiers
  • MI License # 4704131080
  • MI Medicaid 104654110
  • MI Other TD131080 BLUESHIELD PIN
  • WI Other 44337600 WISC MEDICAID PIN
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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