Provider Demographics
NPI:1588543599
Name:HURLBURT, MARY CHRISTINA (PA-C)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:CHRISTINA
Last Name:HURLBURT
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:POLLY
Other - Middle Name:
Other - Last Name:HURLBURT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PA-C
Mailing Address - Street 1:1013 W LAKEWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-1617
Mailing Address - Country:US
Mailing Address - Phone:919-824-0201
Mailing Address - Fax:
Practice Address - Street 1:2301 ERWIN RD
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27705-4699
Practice Address - Country:US
Practice Address - Phone:919-824-0201
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-02
Last Update Date:2025-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant