Healthcare Provider Details

I. General information

NPI: 1124950225
Provider Name (Legal Business Name): RUTH HUNT MSN, APRN, FNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MILE 187 GLENN HIGHWAY
GLENNALLEN AK
99588
US

IV. Provider business mailing address

PO BOX 5
GLENNALLEN AK
99588-0589
US

V. Phone/Fax

Practice location:
  • Phone: 907-822-3203
  • Fax: 833-819-0279
Mailing address:
  • Phone: 907-822-5686
  • Fax: 907-822-5684

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number255372
License Number StateAK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: