MEDICARE: ANGELA R HUNT CRNA

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
1	367500000X	Certified Registered Nurse Anesthetist	2015008341	MO

General Provider Information

NPI Number	:	1538480587
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANGELA R HUNT CRNA

Provider Business Mailing Address
First Line	:	3520 W EDGEWOOD DR
Second Line	:
City	:	JEFFERSON CITY
State	:	MO
Zip	:	65109-6902
Country	:	US
Telephone Number	:	573-556-7765
Fax Number	:

Provider Business Practice Location Address
First Line	:	3520 W EDGEWOOD DR
Second Line	:
City	:	JEFFERSON CITY
State	:	MO
Zip	:	65109-6902
Country	:	US
Telephone Number	:	573-556-7765
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/14/2010
Last Update Date	:	02/03/2026

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