Provider Demographics
NPI:1144988304
Name:HURTADO, BRIANNA L (FNP-C)
Entity type:Individual
Prefix:
First Name:BRIANNA
Middle Name:L
Last Name:HURTADO
Suffix:
Gender:F
Credentials:FNP-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 N INTERSTATE 35
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78722-2322
Mailing Address - Country:US
Mailing Address - Phone:512-232-3900
Mailing Address - Fax:512-471-1455
Practice Address - Street 1:2901 N INTERSTATE 35
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78722-2322
Practice Address - Country:US
Practice Address - Phone:512-232-3900
Practice Address - Fax:512-471-1455
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-06
Last Update Date:2025-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1056595363LF0000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily