Provider Demographics
NPI:1407053515
Name:HURD, SARAH B (PA)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:B
Last Name:HURD
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1260 S MAIN ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SALINAS
Mailing Address - State:CA
Mailing Address - Zip Code:93901-2292
Mailing Address - Country:US
Mailing Address - Phone:831-758-2746
Mailing Address - Fax:831-758-3834
Practice Address - Street 1:1260 S MAIN ST STE 201
Practice Address - Street 2:
Practice Address - City:SALINAS
Practice Address - State:CA
Practice Address - Zip Code:93901-2292
Practice Address - Country:US
Practice Address - Phone:831-758-2746
Practice Address - Fax:831-758-3834
Is Sole Proprietor?:No
Enumeration Date:2007-07-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51888363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME0002723Medicare PIN