Provider Demographics
NPI:1063704997
Name:HURLEY, CHRISTINA DANIELLE (MPAS, PA-C)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:DANIELLE
Last Name:HURLEY
Suffix:
Gender:F
Credentials:MPAS, PA-C
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:DANILLE
Other - Last Name:GODFREY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6 HEALTHCARE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-4499
Mailing Address - Country:US
Mailing Address - Phone:603-994-6400
Mailing Address - Fax:603-994-6443
Practice Address - Street 1:6 HEALTHCARE DR STE 1
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-4499
Practice Address - Country:US
Practice Address - Phone:603-994-6400
Practice Address - Fax:603-994-6443
Is Sole Proprietor?:No
Enumeration Date:2011-05-11
Last Update Date:2015-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0820363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant