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NPI Code Detail

MEDICARE: HANNAH ANN DURKIN

MEDICARE: HANNAH ANN DURKIN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0010-15142NC

General Provider Information

NPI Number : 1316753999
Entity Type Code : Individual
Provider Name (Legal Business Name) : HANNAH ANN DURKIN
Provider Business Mailing Address
First Line : 4420 LAKE BOONE TRL
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7505
Country : US
Telephone Number : 919-784-3200
Fax Number :
Provider Business Practice Location Address
First Line : 4420 LAKE BOONE TRL
Second Line :
City : RALEIGH
State : NC
Zip : 27607-7505
Country : US
Telephone Number : 919-784-3100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2024
Last Update Date : 06/16/2026

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Directions to “ HANNAH ANN DURKIN ” Practice Location

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