Healthcare Provider Details

I. General information

NPI: 1467565234
Provider Name (Legal Business Name): EILEEN MARY HUNT RNFA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/16/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7012 HUNTFORD HILL NE
CALGARY ALBERTA
T2K 3Z4
CA

IV. Provider business mailing address

7012 HUNTFORD HILL NE
CALGARY ALBERTA
T2K 3Z4
CA

V. Phone/Fax

Practice location:
  • Phone: 403-366-8244
  • Fax:
Mailing address:
  • Phone: 403-366-8244
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number446241
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: