Healthcare Provider Details

I. General information

NPI: 1134484298
Provider Name (Legal Business Name): CRISTINA HURLBUT MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CRISTINA MERETE MD

II. Dates (important events)

Enumeration Date: 07/05/2012
Last Update Date: 01/20/2020
Certification Date: 01/20/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 ORONDO AVE STE 1
WENATCHEE WA
98801-2800
US

IV. Provider business mailing address

1323 S 51ST AVE
OMAHA NE
68106-2425
US

V. Phone/Fax

Practice location:
  • Phone: 509-662-6000
  • Fax: 509-664-4588
Mailing address:
  • Phone: 402-968-9823
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD171456
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number27696
License Number StateNE
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD60587540
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: