Provider Demographics
NPI:1174923379
Name:HURLEY, CONNIE (DVM, DACVS-SA)
Entity type:Individual
Prefix:DR
First Name:CONNIE
Middle Name:
Last Name:HURLEY
Suffix:
Gender:F
Credentials:DVM, DACVS-SA
Other - Prefix:DR
Other - First Name:CONNIE
Other - Middle Name:RENEE
Other - Last Name:HURLEY PRITZEL
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DVM, DACVS-SA
Mailing Address - Street 1:360 BLUEMOUND RD
Mailing Address - Street 2:
Mailing Address - City:WAUKESHA
Mailing Address - State:WI
Mailing Address - Zip Code:53188-1752
Mailing Address - Country:US
Mailing Address - Phone:262-542-3241
Mailing Address - Fax:262-542-0805
Practice Address - Street 1:360 BLUEMOUND RD
Practice Address - Street 2:
Practice Address - City:WAUKESHA
Practice Address - State:WI
Practice Address - Zip Code:53188-1752
Practice Address - Country:US
Practice Address - Phone:262-542-3241
Practice Address - Fax:262-542-0805
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI5973-50174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian