MEDICARE: HUNTER KAI WORRELL FNP-C

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	363LF0000X	Family Nurse Practitioner	828632	NY

General Provider Information

NPI Number	:	1649113044
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUNTER KAI WORRELL FNP-C

Provider Business Mailing Address
First Line	:	2 BLUE SLIP APT 21F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-7385
Country	:	US
Telephone Number	:	571-265-8651
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 BLUE SLIP APT 21F
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11222-7385
Country	:	US
Telephone Number	:	571-265-8651
Fax Number	:

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

Provider Enumeration Date	:	04/10/2026
Last Update Date	:	04/10/2026

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